tailieunhanh -   Allergic and Non‐Allergic Sinusitis for the Primary Care Physician:  Pathophysiology, Evaluation and Treatment 

This study characterized maxillary sinus mucositis (SIMS) adjacent to teeth with apical periodontitis (AP), and assessed its resolution three months after endodontic treatment. 29 subjects who maxillary posterior teeth with AP were imaged with cone-beam computed tomography (CBCT). Resolution of SIMS was assessed with CBCT three months after treatment, and periapical healing was assessed using the PAI after six months. Four non-compliant subjects were discontinued and SIMS was identified in 14/25 subjects (56%). Three months post-treatment, SIMS was resolved fully in 3/10 subjects (30%), and partially in 3/10 subjects (30%). Six months post-treatment, 6/10 subjects (60%) were classified as healed. | Allergic and Non-Allergic Sinusitis for the Primary Care Physician Pathophysiology Evaluation and Treatment Daniel G. Becker MD Clinical Associate Professor Department of Otolaryngology-Head and Neck Surgery University of Pennsylvania Philadelphia Pennsylvania Samuel S. Becker MD Clinical Instructor Vanderbilt University Clinical Assistant Professor Department of Otolaryngology-Head and Neck Surgery University of Pennsylvania Philadelphia Pennsylvania Copyright 2110 Daniel G. Becker MD and Samuel S. Becker . All rights reserved Allergic and Non-Allergic Sinusitis for the Primary Care Physician Pathophysiology Evaluation and Treatment TABLE OF CONTENTS INTRODUCTION Chapter 1 ANATOMY AND PHYSIOLOGY WITH SINUSITIS OVERVIEW Chapter 1 Questions Chapter 2 SINUS SIGNS AND SYMPTOMS Chapter 2 Questions Chapter 3 MAKING THE DIAGNOSIS Chapter 3 Questions Chapter 4 ALLERGIC RHINITIS Chapter 4 Questions Chapter 5 ASTHMA AND SINUSITIS Chapter 5 Questions Chapter 6 ACID REFLUX AND SINUSITIS Chapter 6 Questions Chapter 7 SNORING Chapter 7 Questions Chapter 8 UNUSUAL CAUSES OF SINUSITIS Chapter 8 Questions Chapter 9 SINUSITIS IN PATIENTS WHO HAVE HAD SURGERY Chapter 9 Questions Chapter 10 MEDICAL TREATMENT OF SINUSITIS Chapter 10 Questions Chapter 11 SURGICAL TREATMENT OF SINUSITIS Chapter 11 Questions Chapter 12 SURGERY OF THE SEPTUM THE TURBINATES AND OTHER NON-SINUS CAUSES OF NASAL BLOCKAGE Chapter 12 Questions 2 Allergic and Non-Allergic Sinusitis for the Primary Care Physician Pathophysiology Evaluation and Treatment INTRODUCTION Sinusitis is one of the most common health care complaints in the United States. 1-9 Approximately 1 in 8 people in the United States will have sinusitis at one time in their lives. The National Center for Disease Statistics reports that sinusitis is now the number one chronic illness for all age groups in the United States. The 1993 National Health Interview Survey found that sinusitis was the most commonly reported chronic disease affecting .