Otolaryngology: Open Access
Open Access

Sino nasal disorders are among the most common diseases affecting both adults and children, resulting in significant health and economic impact. These disorders include rhinitis and rhino sinusitis. Allergic rhinitis is an immunoglobulin E (IgE)-mediated process in response to an inciting allergen that results in rhinorrhea, nasal congestion, nasal itching, and sneezing. Rhino sinusitis is also an inflammatorymediated process where the sinus and nasal passages become obstructed and inflamed and may become superinfected by bacterial pathogens. Although the diagnosis of these disorders is clinical, the clinician must retain a high index of suspicion for complications from sinonasal disorders, which may include intracerebral abscess, osteomyelitis, orbital cellulitis, and meningitis. Despite the prevalence of these disorders, the management varies widely among practitioners; this chapter aims to elucidate the signs and symptoms, diagnosis, management, and possible complications of sinonasal disorders [1].

Sinonasal tumors are tumors that occur within the cavity or nasal sinuses. These tumors are rare, making up only about three percent of tumors in the upper respiratory tract. They are twice as common in males as in females.

Chronic sinusitis affects 31 million people within the U.S. and accounts for quite 16 million outpatient visits a year and countless time lost. In the past, sinus surgery was invasive, often performed through external incisions, and related to significant pain. Today, at the Michigan Sinus Center, within the Division of Laryngology, Rhinology and General Otolaryngology at the University of Michigan Health System, our endoscopic approaches to nasal and sinus disorders are less invasive, less painful and yield great results. And our patients know we care about them [2].

We treat the complete scope of nasal and sinus disorders, including: rhinitis an inflammation of the membranes lining the nose Cerebral cerebrospinal fluid leaks, Chronic sinusitis with polyps an inflammation of the sinuses that lasts more than 12 weeks and is associated with nasal polyps, Chronic sinusitis without polyps, Difficult infections Deviated septum, Fungal sinusitis includes allergic fungal sinusitis and fungal ball plus acute or chronic invasive fungal sinusitis, Inverting papilloma benign tumors that form inside the nose, Meningoencephalocele when the liner of brain and/or brain tissue protrude through a gap within the skull.

Nasal fractures, Nasal masses and nasal tumors, Nosebleeds: Watch our video about what to do during a nosebleed (link is external), Triad asthma a clinical syndrome defined by three conditions that exist together: asthma, aspirin sensitivity and nasal polyps [3, 4].

In order to accurately diagnose your issue, we take the time to concentrate to you. We compile a radical patient history and review your previous records. Then we offer an in depth head and neck physical exam, which incorporates employing a nasal endoscope to gauge your cavity. If necessary, we will biopsy a polyp or mass within the office using the endoscope. We also use an endoscope to seem at your nose, sinus and larynx. We can also perform a CT scan, if needed, to assist diagnose sinus disease.

If we expect you've got a bacterial infection, we've equipment to painlessly get a culture from your sinuses. This allows us to detect and identify the bacteria within the lab, and test the bacteria to work out the simplest antibiotics for treating you. No guessing which antibiotics may work [5].

We use image-guided, minimally invasive surgery to require care of complex medical and surgical issues in patients with sinus disorders. This includes revision surgery, which suggests the patient has had the surgery elsewhere, but either the polyps came back or there's connective tissue or it hasn’t healed well. We offer an experienced team of surgeons and specialists to form it right. In some cases, we also offer balloon sinuplasty, which involves endoscopically inflating alittle balloon within the sinus cavity to open blocked sinuses, which restores normal drainage, and then removing the balloon. And for patients with polyps, we've cutting-edge techniques both medically and surgically to slow the expansion of polyps.

When it involves surgical intervention for any quite health care condition, you ought to choose a middle that performs a high volume of surgeries. In any given year, we perform quite 500 sinus surgeries roughly 10 hebdomadally. Our Otolaryngology Department is one among the oldest within the country, meaning our knowledge is deep. And many of the research and advancements within the field are made here at the University of Michigan [6].

We provide high-quality, efficient treatment in a multidisciplinary setting by having everyone you need to see right here on site: allergists, asthma specialists, pulmonologists, infectious disease specialists, and ear, nose and throat doctors. We have a robust relationship with our Allergy Department, with whom we work closely to worry for patients who have aspirin-sensitive asthma and nasal polyps, referred to as triad asthma. In fact, we’ve developed advanced treatment programs for triad asthma, including postoperative aspirin desensitization not commonly available in most community practices. Aspirin desensitization provides substantial relief and much better outcomes for about 70% of patients with triad asthma.

1. Babbel R, Harnsberger HR, Nelson B (1991) Optimisation of techniques in screening CT of the sinuses. AJNR Am J Neuroradiol 12: 849-854.

Indexed at, Google Scholar

2. Momeni AK, Roberts CC, Chew FS (2007) Imaging of chronic and exotic sinonasal disease: a review. AJR 189: S35-45.

Indexed at, Google Scholar, Crossref

3. Fatterpekar GM, Delman BN, Som PM (2008) Imaging the paranasal sinuses: where we are and where we are going. Anat Rec 291: 1564-1572.

Indexed at, Google Scholar, Crossref

4. Bassim MK, Ebert CS, Sit RC (2005) Radiation dose to the eyes and parotids during CT of the sinuses. Otolaryngol Head Neck Surg 133: 531-533.

Google Scholar, Crossref

5. Czechowski J, Janeczek J, Kelly G (2001) Radiation dose to the lens in sequential and spiral CT of the facial bones and sinuses. Eur Radiol.; 11: 711-713.

Indexed at, Google Scholar, Crossref

6. Sohaib SA, Peppercorn PD, Horrocks JA (2001) The effect of decreasing mAs on image quality and patient dose in sinus CT. Br J Radiol 74: 157-161.

Indexed at, Google Scholar, Crossref