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- $Unique_ID{BRK00451}
- $Pretitle{}
- $Title{Insight Into Sinus Trouble}
- $Subject{sinusitis infection complications sinus sinuses upper respiratory
- tract bacterial viral infections inflamed thick secretion pressure pain
- tenderness fever purulent pus discharge antibiotics surgical drainage}
- $Volume{A-6}
- $Log{
- Anatomy of the Nasal Cavities and Sinuses*0005501.scf
- Anatomy of the Sinuses*0005502.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- Insight Into Sinus Trouble
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- QUESTION: Although my wife believes that sinus trouble is very much like a
- common cold, I have always thought that this was a most serious disease, and
- that it can easily cause death. Can you offer us some insight?
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-
- ANSWER: There is a bit of truth in both positions in this friendly family
- health discussion. While every common cold does not become a sinus infection,
- sinusitis is a complication of upper respiratory tract infections in about 1%
- of the cases. When the normal defenses of the sinus break down, bacterial and
- viral infections can penetrate into these normally sterile spaces and create
- quite a problem. The tissue lining the sinus spaces becomes inflamed,
- producing a thick secretion which may block the normal flow of secretions from
- the sinus and create painful pressure in the sinus. As the bacteria continue
- to grow, this pressure increases and with it, pain and tenderness, fever and
- purulent (pus) discharge. Since the sinuses lie so close to the brain and
- other very sensitive nerve structures, any spread through the thin bony walls
- of a sinus can produce infections of the brain's coverings (the meninges) and
- to the brain itself. Fortunately this is a rare occurrence, and generally is
- not seen in otherwise healthy individuals. Rapid diagnosis has been advanced
- by using the CT scanner, which can accurately reveal the presence of infection
- as well as any damage to the sinus walls. Intensive use of antibiotics and
- surgical drainage can usually control these life endangering complications.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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