不伴鼻息肉的慢性鼻窦炎

最后审阅: 27 八月 2022
最后更新: 15 二月 2022

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 面部疼痛/发胀
  • 鼻塞
  • 流涕/鼻后滴漏
  • 脓液
  • 头痛
更多 关键诊断因素

其他诊断因素

  • 疲劳
  • 咳嗽
  • 嗅觉减退/失嗅
  • 发热
  • 口臭
  • 牙疼
  • 耳痛/闷胀
其他诊断因素

危险因素

  • 纤毛功能异常
  • 阿司匹林耐受不良
  • 变应性鼻炎
  • 气道高反应性/哮喘
  • 以前的鼻窦手术
  • 免疫缺陷
  • 严重的鼻中隔偏曲
  • 泡性鼻甲畸形
  • 中鼻甲反向偏曲
  • 异物
  • 颅面畸形
  • 吸烟
  • 结节病
  • 肉芽肿性多血管炎
  • 哮喘病史
更多 危险因素

诊断性检查

首要检查

  • 前鼻镜检查
  • 鼻内镜检查
更多 首要检查

需考虑的检查

  • 鼻窦 CT
  • 鼻窦 MRI
  • 鼻/鼻窦分泌物培养
  • 致敏原检测
更多 需考虑的检查

治疗流程

急症处理

慢性鼻窦炎

持续性治疗

经药物治疗,症状仍持续存在者

撰稿人

作者

Raj Sindwani, MD, FACS, FRCS

Section Head of Rhinology, Sinus, and Skull Base Surgery

Head and Neck Institute

Cleveland Clinic Foundation

Cleveland

OH

利益声明

RS is an author of a number of references cited in this topic.

Christopher Roxbury, MD

Assistant Professor

Rhinology and Endoscopic Skull Base Surgery

Section of Otolaryngology - Head and Neck Surgery

Department of Surgery

University of Chicago Medicine & Biological Sciences

Chicago

IL

利益声明

CR declares that he has no competing interests.

鸣谢

Dr R Sindwani and Dr C Roxbury would like to acknowledge Dr J Antisdel, a previous contributor to this topic.

同行评议者

Ryland P. Byrd, Jr, MD

Professor

James H. Quillen College of Medicine

East Tennessee State University

Johnson City

TN

利益声明

RPB declares that he has no competing interests.

Thomas Sanford, MD

Assistant Professor of Otolaryngology - Head and Neck Surgery

St Louis University School of Medicine

St Louis

MO

利益声明

TS declares that he has no competing interests.

Ozgur Yigit, MD

Chief

ENT Department

Istanbul Training and Research Hospital

Istanbul

Turkey

利益声明

OY declares that he has no competing interests.

Christos Georgalas, MD, PhD, DLO, FRCS (ORL-HNS)

Assistant Professor/Consultant

Academic Medical Center

Amsterdam

The Netherlands

利益声明

CG declares that he has no competing interests.

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