New rapid diagnostic criteria of acute sinusitis based on patterns of headache and facial pain in sinusitis: A study of 117 patients suffering from sinusitis
Journal Title: Polski Przegląd Otorynolaryngologiczny - Year 2018, Vol 7, Issue 1
Abstract
Introduction There is need for any healthcare setup to rapidly identify Sinus headache patients from other cases of Neurological and Primary headaches like Migraine and Chronic Tension-type headache. Materials and Methods 117 cases of confirmed sinusitis were evaluated and analyzed for common traits which could help in the rapid diagnosis of Sinusitis. Results Unilateral, dull aching headache and facial pain, of changing intensity, lasting all day on an average of 4 to 6 hours with a previous short history of the common cold in acute sinusitis is the most common pattern observed in this study. Discussion Unilateral, dull aching headache and facial pain, of variable intensity, lasting all day on an average of 4 to 6 hours along with is highly sensitive criterion (91%) for diagnosis of acute sinusitis. This, along with a history of previous Upper Respiratory tract infection, is useful to rapidly screen patients for acute sinusitis (95% sensitive). Though a subset of other headache cases will also be included by the criteria, imaging or Endoscopy must be done in these positive cases to increase the specificity of the diagnostic criteria.<br/><br/>
Authors and Affiliations
Santhosh Kumar Rajamani
Keywords
Related Articles
- EP ID EP273630
- DOI 10.5604/01.3001.0011.6821
- Views 178
- Downloads 0
Schwannoma of the fl oor of the mouth – a case report and literature review
Schwannoma is a benign neoplasm derived from Shwann cells of the peripheral nerves. The tumor usually occurs in conjunction with cranial nerves in head and neck region. It is characterized by long term growth and symptom...
Otorrhea – schemat postępowania
Authors pres ented managem ent algorhytm in case of ear discharge. Based on signs and symptoms, three main clinical situations were defi ned. It allowed to conduct further diagnosis and management. In most frequent disor...
Znaczenie rynometrii akustycznej i rynomanometrii w diagnostyce przed- i pooperacyjnej u pacjentów z problemami rynologicznymi
Rhinomanometr y (RMM ) is a technique known since a long time in the offi ce of ENT and allergy. It is used to test the resista nce of air fl owing throu gh the nasal cavity . This is a fast, cheap and non-invasive metho...
Report from the Speech Therapists Forum ‘‘ New directions in rehabilitation of hearing and speech’’
Role of psychiatric status assessment of patient with obstructive sleep apnea
Obstructive sleep apnea (OSA) is a medical problem with a range of social. In the severe form of concerns 2-4% of the population of industrialized countries, in the mild form of approx. 15% of adults. The predominant sym...