Transcript CHRONIC SINUSITIS IN MALAYSIA

CHRONIC SINUSITIS IN MALAYSIA
NAQIBAH AFIQAH BINTI NADZRI
NURLINA BINTI WANSHAH
OVERVIEW
Categories : acute, chronic, mild, severe, life threatening
Chronic sinusitis - Long term inflammation of sinuses
- more than 4 weeks. Keep returning after
treatment
Vs acute sinusitis – a short term sinus infection usually caused by
viruses or bacteria ()
Most cases in Malaysia – non infectious, inflammatory type
STATISTICS
Common problem worldwide
8 out of 10 people have mild sinusitis
60-65% from 28,310,000 Malaysians have this
problem[2]
37 millions Americans have sinusitis
11,212 171 Czechs have sinusitis [1]
HOW?
Allergy/Inflammation/Bone deformation
↓
sinus obstruction
↓
excess mucous not removed quickly enough
↓
infection of bacteria
ETHIOLOGY/CAUSES
Living condition : Dust and cold (swollen turbinates via excess
mucous)
Diet : seafood
Malaysian are fans of seafood products such as belacan
(fermented prawn paste), cencalok and budu(fermented
anchovies)
Lifestyle : use of air conditioner and fan, swimming and dipping
Anatomy : tumor in nasal cavity, nasal septum deviation, large
conchae, bone deformation (automobile accidents)
SIGNS AND SYMPTOMS
Runny nose in the morning
Greenish or yellowish mucous more than 3 months
Frequent sneezing
Bad breath
Acne
Severe headache
Facial pain
Watering eyes
Fever
*symptoms usually occur in the morning
COMPLICATIONS
1. Orbital complications. High risk of blindness!!!
2. Intracranial complications - meningitis
3. Vascular complications
4. Asthma
5. Loss of smell and taste
6. Osteomyelitis
TREATMENT
Goals of treatment : relieving the symptoms, restoring and improving sinus
function, preventing complications, and eliminating the cause
1. reduce swelling and open blocked sinuses. Inhaling steam
and using nasal saline spray washes, decongestants (oral,
nasal)
2. Allergy medications : antihistamines, decongestants, and
anti-inflammatory medications.
3. endoscopic surgery : to widen the sinus openings, removal
of nasal polyps and other structural blockages, correction of
deviated septum
4. Alternative treatments in Malaysia : leech therapy,
5. Prevention is better than cure! Reduce intake of
seafood products. Reduce open fire. Frequent dusting
of the house.
REFERENCES
1.
2.
3.
4.
http://www.wrongdiagnosis.com/s/sinusitis/stats-country.htm
http://www.klik4sihat.com/penyakit-resdung-sinusitis.html
http://www.american-rhinologic.org/patientinfo.sinusitiscomplications.phtml
http://symptomchecker.about.com/od/man/other/Diagnoses/chronic-sinusitis-inadults.htm#treat
5. Flickr.com
6. Istockphoto.com