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Chronic Sinusitis

                   Figure A                                                       Figure B

                       Figure C                                                 Figure D


These figures represent a chronic unilateral sinusitis involving primarily the maxillary sinus.  Fungal sinusitis need to be ruled out with necessary investigations.


Figure A - coronal cut slice of paranasal sinuses CT-scan showing right maxillary sinus involvement.

Figure B - right middle meatus appearance showing osteomeatal complex narrowing and lateral wall mucosal oedema   Brownish materials covered by mucopus seen (arrow).

Figure C - exposed slate-brown materials filling the maxillary sinus prior to removal (arrows).

Figure D - antral mucosa hypertrophy before biopsy taken and remaining diseased mucosa removed.


Watch video of recalcitrant chronic rhinosinusitis @ YouTube

Watch video of endoscopic sinus surgery to cure cacosmia @ YouTube

Allergic Fungal Sinusitis

Silent Sinus Syndrome

Empty Nose Syndrome

Figure shows a coronal cut image of paranasal sinus CT-scan showing absence of inferior turbinates bilaterally.  Over-resection predisposes to disturbance of normal nasal physiology and aerodynamic resulting in persistent troublesome

symptoms of chronic nasal dryness and paradoxical obstruction.


Presentation Series by Dr Steven M. Houser, MD, FAAOA (YouTube:DrRobertBodlaj's Channel)

Empty Nose Syndrome Diagnosis & Management I

Empty Nose Syndrome Diagnosis & Management II

Empty Nose Syndrome Diagnosis & Management III

Empty Nose Syndrome Diagnosis & Management IV


Visit Self-Help Website on Empty Nose Syndrome