López LJR

Language: Spanish
References: 3
Page: 25-26
PDF size: 150.65 Kb.

Text Extraction

To the Editor. Anterior and posterior purulent nasal discharge are signs and major clinical criteria for sinusitis diagnosis; foul breath is a minor one. Water’s X-rays or CT scans with opacification, air fluid level or thickened mucosa are the «golden standard» for diagnosis.
However, major clinical criteria are not always present and CT scans or X-rays are often not routine studies, so clinical signs obtained by classical clinical methods are always helpful.
Hypothesis: Small sprinkled drops on the palatal mucosa may be a normal feature because of the presence of salivary glands, but in patients with sinusitis bigger or fairly apparent drops over the erythematous or pale mucosa may be a clinical sign of sinusitis, probably as a consequence of the obliged oral breathing, the inflammatory process and the physical changes in secretions.

REFERENCES

1. Shapiro GG, Rachelesky GS. Introduction and definition of sinusitis. In: Mechanism, diagnosis and treatment of sinusitis in children and adults. J Allergy Clin Immunol 1992; 90: 417-8.

2. Lusk RP, McAlister B, Fouley A. Anatomic variations in pediatric chronic sinusitis. A CT study. Otolarhyngic Clinics of North America 1996; 29: 75-90.

3. Kovatch SL, Wadd ER, Ledezma-Medina J et al. Maxillary sinus radiographs in children with non-respiratory complaints. Pediatrics 1984; 73: 306-8.