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A review of the literature found that the most sensitive symptoms and signs for the diagnosis of acute sinusitis were maxillary toothache, a poor response to decongestants, a coloured nasal discharge (symptoms), purulent nasal discharge and abnormal maxillary sinus transillumination (signs).The gold standard for the diagnosis of acute bacterial sinusitis remains aspiration of pus from one of the major sinuses.

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Post surgical recovery has proven easier on these patients.
Treatment consists of combining topical or systemic decongestants with saline irrigations and an antibiotic, usually amoxycillin.

09 Jun 2020

The reduced concentration of medicine via oral agents has difficulty attacking the infection when located in the bone surrounding the sinus cavities. However, referral should occur if complications develop or if the patient fails to respond to second-line therapy.

The major sinuses drain through a common tract - the ostiomeatal complex, which is located under the middle turbinate. The light is held on the lower rim of the orbit and the palate examined through the patient's open mouth. It is also usually quite clear when the patient does not have acute sinusitis if only one symptom or sign, or none, is present.

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