Maxillary sinus (diseases)

yeah this is dr. Srikant from team MDS conquer now I'm going to discuss about the diseases of maxillary sinus in this pathway okay all of you know the most common thing is sinusitis that is the inflammation of the mucous membrane of the sinus and and sinusitis means apart from the maxillary sinus when it involves almost all other similar to your pan site-- opinio right so that is cornice pants sinusitis so coming to the theology the most common etiology I feel these are the two that most commonly theologist that is the allergy or immunity related stuff and the infection related stuff okay so trauma damage during the surgery or sometimes abnormal anatomical abnormalities like deviated national septum okay DNS and foreign bodies and some genetic disorders of the wave great cases and if you want you can make a note about the bacteria that are responsible and the virus that are responsible and the fungus that are responsible for this maxillary sinusitis but I feel questions in this area will be very very rare okay so just make a note what are the bacteria and what are the virus and what are the fungus that are responsible or that can be seen as a microflora responsible for sinusitis next comes is the classification acute sinusitis will be less than four weeks sub acute will be in the range of four to twelve whereas the chronic most of your questions move around chronic that will be more than twelve weeks okay so coming to the acute things and most of the things are well known by you there will be headache heaviness because accumulation of lots of mucus and whenever there is a change in the position as already discussed this is innate space whenever there is a change in a postural position the mucus will try to move from here to there and cause some sort of compression and the facial pain will increases fever and chills are common nasal blockage or obstruction leading to the accumulation difficulty in breathing cough the two that is associated with that or maybe in the in that John may have some pain lymphadenopathy is already discussed because these are going to drain into the lymph nodes nearby and coming to the chronic chronic most of the symptoms I mean the symptoms everything will be like activated or get accumulated so most of your questions move around chronic the pain will be dull pain on perversion of the in voltage it's a good sign seen so please to add this favor is common lymphadenopathy is common heaviness of head is common okay acute cases you will not help us you will have inflammation whereas in the chronic cases you will have pass or the pleural discharge next course is the fistula is again the acute case whenever you have pass you will you will feel a halitosis or discomfort or or abnormal taste sensation in your oral cavity so all these are the very peculiar things which can be seen only in the chronic cases so the cases where they have given a case based patient in your comedy cane that is about this chronic maxillary sinusitis and of course in the ames they have given a radiograph based questions several times so it's mandatory that you have to learn the difference between the acute and chronic how to differentiate because definitely i cute will be an option in your question for sure next comes the tests that are used of the other diagnostic modalities for this particular situation it is regularly performed in a dark room that is a transamination test where a safety bulb is inserted into your oral cavity okay with lips closed and good illumination indicates the presence of aid in the sinus but as the failure of the bad illumination this is a good illumination bad illumination indicates there is some sort of pulse or fluid or foreign body which is obstructing the light to hit right so this is the transamination test which is used for diagnosis of sinusitis so apart from that regularly is the radiographic sign you can see here so by which you can diagnose is chronic sinus acute sinusitis cannot be differentiated on the radiograph whereas chronic sinusitis can be differentiated by having like you feel if you compare one side to other side this is a unilateral thing where you will have a clouding with a air-filled spaces and mucus in your sinus wall right