Sinusitis: From Microbiology To Management

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ISBN: 9780824729486 | 082472948X
Cover: Hardcover
Copyright: 9/15/2005

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Georgetown Univ., Washington, DC. Reference provides guidelines for the diagnosis and management of sinusitis. Adresses issues such as the identification, epidemiology, and etiology of sinusitis. Provides step-by-step instructions, illustrations, flowcharts, and more. For clinicians.

Preface

Contributors

SECTION I. EPIDEMIOLOGY, PRESENTATION AND DIAGNOSIS

1. Sinusitis: Epidemiology

(14)

Thomas M. File Jr.

Introduction

(1)

Prevalence and Burden of Disease

(3)

Epidemiology and Risk Factors

(5)

Pathogens of Bacterial Sinusitis

(1)

Sinusitis and HIV

(1)

Nosocomial Sinusitis

(1)

References

(2)

2. Classification of Rhinosinusitis

(24)

Peter A.R. Clement

Introduction

(2)

Classifications of Sinusitis

(11)

The Classification of Fungal Sinusitis

(4)

The Classification of Pediatric Rhinosinusitis

(2)

References

(5)

3. Rhinosinusitis: Clinical Presentation and Diagnosis

(16)

Michael S. Benninger and Joshua Gottschall

Introduction

(1)

Definitions

(1)

Pathophysiology

(1)

Rhinosinusitis or Upper Respiratory Tract Infection?

(1)

Diagnosis of Rhinosinusitis

(9)

Conclusion

(1)

References

(3)

4. Imaging Sinusitis

(40)

Nafi Aygun, Ovsev Uzunes, and S. James Zinreich

Introduction

(1)

Available Imaging Modalities

(5)

Anatomy

(11)

Imaging Rhinosinusitis

(13)

Presurgical Imaging Evaluation

(3)

Postsurgical Imaging Evaluation

(1)

Surgical Complications

(2)

Computer-Aided Surgery

(1)

References

(6)

SECTION II. ANATOMY AND PATHOPHYSIOLOGY

5. Anatomy and Physiology of the Paranasal Sinuses

(14)

John K Krouse and Robert J. Stachler

Introduction

(1)

Embryology of the Nose and Paranasal Sinuses

(4)

Anatomy of the Nose and Paranasal Sinuses

100

(6)

Physiology of the Nose and Paranasal Sinuses

106

(2)

Conclusion

108

(1)

References

108

(1)

6. Pathophysiology of Sinusitis

109

(26)

Alexis H. Jackman and David W. Kennedy

Introduction

109

(4)

Definitions of Rhinosinusitis

113

(1)

Acute Rhinosinusitis

113

(3)

Chronic Rhinosinusitis

116

(1)

Etiologies of Chronic Rhinosinusitis

117

(11)

Summary

128

(1)

References

129

(6)

SECTION III. MICROBIOLOGY

7. Infective Basis of Acute and Recurrent Acute Sinusitis

135

(10)

Ellen R. Wald

Introduction

135

(1)

Obtaining Specimens

135

(2)

Microbiology of Acute Sinusitis in Children

137

(1)

Microbiology of Acute Community-Acquired Sinusitis in Adults

138

(3)

Conclusion

141

(1)

References

142

(3)

8. Infectious Causes of Sinusitis

145

(34)

Itzhak Brook

Introduction

145

(1)

The Oral Cavity Normal Flora

145

(6)

Interfering Flora

151

(1)

Nasal Flora

152

(1)

Normal Sinus Flora

153

(1)

Microbiology of Sinusitis

154

(13)

The Role of Fungi in Sinusitis

167

(2)

Conclusion

169

(1)

References

169

(10)

SECTION IV. THERAPEUTIC OPTIONS

9. Antimicrobial Management of Sinusitis

179

(24)

Itzhak Brook

Introduction

179

(1)

Antimicrobial Resistance

179

(1)

Beta-Lactamase Production

180

(6)

Antimicrobial Agents

186

(7)

Principles of Therapy

193

(5)

Conclusions

198

(1)

References

198

(5)

10. Medical Management of Acute Sinusitis

203

(1)

Dennis A. Conrad

Introduction

203

(1)

Rationale for the Recommended Management of Acute Bacterial Sinusitis

204

(7)

Current Recommendations for the Management of Acute Bacterial Sinusitis

211

(5)

References

216

(3)

11. Medical Management of Chronic Rhinosinusitis

219

(1)

Alexander G. Chiu and Daniel G. Becker Definition of CRS

220

(13)

Inciting Factors in Sinusitis

220

(1)

Antimicrobial Therapy

220

(1)

Antimicrobial Agents

221

(1)

Anti-inflammatory Agents

222

(1)

Adjunctive Therapy

223

(1)

Maximal Medical Therapy for CRS

224

(1)

Infections Following Functional Endoscopic Sinus Surgery

225

(1)

Nebulized Medications

226

(1)

Topical Antibiotic Irrigations

227

(1)

Intravenous Antibiotics

227

(2)

Aspirin Desensitization

229

(1)

Conclusion

229

(1)

References

229

(4)

12. Surgical Management

233

(1)

David Lewis and Nicolas Y. Busaba

Introduction

233

(1)

Diagnostic Work-Up

234

(2)

Indications for Paranasal Sinus Surgery

236

(2)

Contraindications for Paranasal Sinus Surgery

238

(1)

Endoscopic (Endonasal) Sinus Surgery

238

(7)

Complications of Endoscopic Sinus Surgery

245

(2)

Image Guidance Systems

247

(1)

Microdebriders and Sinus Surgery

248

(1)

Types of Paranasal Sinus Surgery

249

(15)

Antibiotic Coverage in Paranasal Sinus Surgery: Prophylactic and Post Surgery

264

(1)

Lasers and Sinus Surgery

265

(1)

Conclusion

265

(1)

References

266

(3)

13. Complications of Acute and Chronic Sinusitis and Their Management

269

(1)

Gary Schwartz and Steve White

Introduction

269

(1)

Pathophysiology

270

(1)

Local Complications

270

(2)

Orbital Infections

272

(6)

Intracranial Complications of Sinusitis

278

(10)

References

288

(3)

SECTION V. SINUSITIS AND SPECIFIC DISEASES

14. Sinusitis and Asthma

291

(164)

Frank S. Virant

Introduction

291

(1)

Historical Association of Sinusitis and Asthma

291

(1)

Chemical, Cytokine, and Cellular Mediators of Airway Disease

292

(2)

Impact of Medical Sinus Therapy on Asthma

294

(1)

Impact of Surgical Sinus Therapy on Asthma

294

(1)

Sinusitis as a Trigger for Asthma Mechanisms

295

(2)

Clinical Implications

297

(3)

Conclusions

300

(1)

References

300

(5)

15. Rhinosinusitis and Allergy

305

(1)

Desiderio Passali, Valerio Damiani, Giulio Cesare Passàli, Francesco Maria Passali, and Luisa Bellussi

Epidemiology

305

(1)

Pathophysiology

306

(2)

Diagnosis

308

(2)

Treatment

310

(3)

Prevention

313

(1)

References

314

(5)

16. Nosocomial Sinusitis

319

(1)

Viveka Westergren and Urban Forsum

Introduction

319

(1)

Etiology and Pathogenesis

320

(8)

Epidemiology

328

(11)

Diagnosis of an Infectious Sinusitis in the ICU

339

(3)

Microbiology and Choice of Antimicrobials

342

(3)

Treatment

345

(1)

Complications

346

(1)

Prevention

347

(1)

References

348

(9)

17. Cystic Fibrosis and Sinusitis

357

(1)

Noreen Roth Henig

Introduction

357

(1)

Pathophysiology of CF

357

(1)

Pathophysiology of CF-Related Sinusitis

358

(1)

Microbiology

359

(2)

Clinical Overview of CF Sinusitis

361

(2)

Diagnosis of Cystic Fibrosis

363

(1)

Treatment of CF-Related Sinusitis

363

(3)

Experimental Therapies

366

(1)

Special Considerations

367

(1)

Conclusion

367

(1)

References

368

(3)

18. Chronic Rhinosinusitis With and Without Nasal Polyposis

371

(1)

Joel M. Bernstein

Introduction

371

(2)

Potential Etiologies for the Early Stages of CRS

373

(1)

Microbiology

374

(1)

Epidemiology of CRS with Massive Nasal Polyposis

375

(2)

The Clinical Diagnosis of Nasal Polyposis

377

(3)

Medical and Surgical Therapy of Nasal Polyposis

380

(1)

Pathogenesis of CRS

381

(16)

Conclusions

397

(1)

References

398

(5)

19. Sinusitis of Odontogenic Origin

403

(1)

Itzhak Brook and John Mumford

Introduction

403

(1)

Pathophysiology

403

(4)

Microbiology

407

(4)

Symptoms

411

(1)

Diagnosis

412

(1)

Management

412

(3)

Summary

415

(1)

References

416

(3)

20. Fungal Sinusitis

419

(1)

Carol A. Kauffman

Introduction

419

(1)

Epidemiology

420

(2)

Pathogenesis

422

(2)

Diagnosis

424

(4)

Treatment

428

(4)

Conclusions

432

(1)

References

433

(4)

21. Sinusitis in Immunocompromised, Diabetic, and Human Immunodeficiency Virus–Infected Patients

437

(1)

Todd D. Gleeson and Catherine F. Decker

Introduction

437

(1)

Sinusitis in Neutropenic Patients

438

(6)

Sinusitis in Diabetic Patients

444

(2)

Sinusitis in HIV-Infected Patients

446

(3)

Conclusion

449

(1)

References

450

(5)

Index

455

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Sinusitis: From Microbiology To Management

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Table of Contents

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