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Related Experiment Videos

Post-traumatic sinusitis.

R M Bell1, G V Page, R P Bynoe

  • 1University of South Carolina School of Medicine, Columbia.

The Journal of Trauma
|July 1, 1988
PubMed
Summary
This summary is machine-generated.

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Paranasal sinusitis can cause sepsis in trauma patients with nasal tubes. Early diagnosis and treatment, including sinus drainage and antibiotics, are crucial for managing this complication.

Area of Science:

  • Critical Care Medicine
  • Infectious Diseases
  • Otolaryngology

Background:

  • Septic complications significantly contribute to morbidity and mortality after traumatic injuries.
  • Paranasal sinusitis is an increasingly recognized, often hidden, cause of fever and sepsis in severely injured patients.

Purpose of the Study:

  • To present a series of 11 patients with clinically significant maxillary sinusitis following trauma.
  • To highlight common risk factors and effective management strategies for this condition.

Main Methods:

  • Retrospective review of 11 multiply injured patients who developed maxillary sinusitis.
  • Analysis of common patient features including nasal instrumentation, craniofacial trauma, steroid use, and injury severity (mean I.S.S. 45.5).

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Main Results:

  • Nasal instrumentation, craniofacial trauma, steroid use, and severe multisystem injury were common in affected patients.
  • Unexplained fever or sepsis in patients with nasal tubes warrants high suspicion for paranasal sinusitis.

Conclusions:

  • A high index of suspicion is essential for diagnosing sinusitis in at-risk trauma patients.
  • Effective management involves prompt investigation, tube removal, sinus irrigation/aspiration, antibiotics, and potentially surgical drainage.