MANAGEMENT FOR CHRONICRHINOSINUSITIS - GRH BASED
MANAGEMENT FOR CHRONICRHINOSINUSITIS - GRH BASED
DIAGNOSTIC CRITERIA
siinus tenderness
pus in the middle meatus
postnasal drip
MEDICAL MANAGEMENT
amox / cotri / erythro /cipro total 3 courses each course for 7 - 10 days
along with PARA . cetrizine / CPM ( if allergy co exists)
& vit c
IF symptoms persists do DNE
DIAGNOSTIC NASAL ENDISCOPY
indications - for evaluation of nasal symptoms for recurrent headache , heaviness of head and facial pain, nasal obstruction , epistaxis , smell disturbances ,nasal mass tubotymapanic CSOM
After doing DNE plan for proper management
+ve findings
plan for FESS / septal correction
if planning for FESS do CT PNS
no +ve findings
continue medical treatment
AMBIGUOUS
order for CT PNS
INDICATIONS FOR SEPTAL SURGERY septal deviation causing nasal obstruction after medical treatment .
FESS - not preferred under 15 yrs
POST OP
pack removal on 1st post op day
nasal decongestion with xylocaine & oxymetazoline nasl drops , antibiotics , antihistaminics & analgesic
if post op period uneventful discharged with advice to continue medicines prescribed for 7 - 10 days
saline douching ( taught to the patient ) .
periodic review weekly once for 2 wks , fortnightly once 1 month , monthlyonce for 3 months ,quaterly once for 1 yr during every contact do DNE to be done & results reviewed and problems tackled.
siinus tenderness
pus in the middle meatus
postnasal drip
MEDICAL MANAGEMENT
amox / cotri / erythro /cipro total 3 courses each course for 7 - 10 days
along with PARA . cetrizine / CPM ( if allergy co exists)
& vit c
IF symptoms persists do DNE
DIAGNOSTIC NASAL ENDISCOPY
indications - for evaluation of nasal symptoms for recurrent headache , heaviness of head and facial pain, nasal obstruction , epistaxis , smell disturbances ,nasal mass tubotymapanic CSOM
After doing DNE plan for proper management
+ve findings
plan for FESS / septal correction
if planning for FESS do CT PNS
no +ve findings
continue medical treatment
AMBIGUOUS
order for CT PNS
INDICATIONS FOR SEPTAL SURGERY septal deviation causing nasal obstruction after medical treatment .
FESS - not preferred under 15 yrs
POST OP
pack removal on 1st post op day
nasal decongestion with xylocaine & oxymetazoline nasl drops , antibiotics , antihistaminics & analgesic
if post op period uneventful discharged with advice to continue medicines prescribed for 7 - 10 days
saline douching ( taught to the patient ) .
periodic review weekly once for 2 wks , fortnightly once 1 month , monthlyonce for 3 months ,quaterly once for 1 yr during every contact do DNE to be done & results reviewed and problems tackled.
Admin- Admin
- Posts : 76
Reputation : 8
Join date : 2010-01-06
Age : 34
Location : chennai
Permissions in this forum:
You cannot reply to topics in this forum