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2003, Number 2

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Rev Fac Med UNAM 2003; 46 (2)

Medical management of sinusitis

Vargas Aam
Full text How to cite this article

Language: Spanish
References: 7
Page: 52-54
PDF size: 28.91 Kb.


Key words:

Sinusitis, decongestants, mucolytes, antihistamines.

ABSTRACT

Sinusitis is a very frequent ailment of the upper airways, which is often badly managed by the primary care physician due to a poor understanding of its pathogenesis. In 1967 and 1978, Professor Messerklinger discovered the mucociliary flow of the paranasal sinuses, which revolutionized the medical treatment of acute sinusitis and the surgical procedure for chronic sinusitis, both aimed at reestablishing the drainage and ventilation of the sinuses involved. Therapeutic management is based on antibiotics, decongestants and mucolytes: antihistamines should be avoided.


REFERENCES

  1. Stamm A, Draf W. Micro-endoscopic surgery of the paranasal sinuses and the skull base. Heidelberg. Springer, 2000.

  2. Messerklinger W. On the drainage of the normal frontal sinus of man. Acta Otolaryngol 1967; 63: 176-181.

  3. Becker S. Applied anatomy of the paranasal sinuses with emphasis on endoscopic surgery. Ann Otol Rhinol Laryngol Suppl 1994; 103: 3-32.

  4. Kennedy D, Gwaltney J, Jones J. Medical management of sinusitis: Educational goals and management guidelines. Ann Otol Rhinol Laryngol Suppl 1995; 104: 22-30.

  5. Lund V, Kennedy D. Quantification for staging sinusitis. Ann Otol Rhinol Laryngol Suppl 1995; 104: 17-21.

  6. Gwaltney J, Phillips D, Miller D, Riker D. Computed tomographic study of the common cold. N Engl J Med 1994; 330: 25-30.

  7. Benninger M. The impact of cigarette smoking and environmental tobacco smoke on nasal and sinus disease: A review of the literature. Am J Rhinol 1999; 13: 435-438.




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Rev Fac Med UNAM . 2003;46