Medical expert of the article
New publications
Diagnosis of acute sinusitis
Last reviewed: 23.04.2024
All iLive content is medically reviewed or fact checked to ensure as much factual accuracy as possible.
We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. Note that the numbers in parentheses ([1], [2], etc.) are clickable links to these studies.
If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please select it and press Ctrl + Enter.
In assessing the clinical picture of the disease, diagnostic acute clinical sinusitis includes:
- purulent discharge from the nose;
- the flow of purulent discharge into the posterior wall of the pharynx;
- no effect on the appointment of intranasal decongestants;
- drip-syndrome.
Small criteria for acute sinusitis include periorbital edema, headache, pain with pressure on the projection points of the paranasal sinuses, pain in the area of the teeth. Ears, in the throat, difficulty, wheezing and fever.
Laboratory Diagnosis of Acute Sinusitis
To laboratory researches carry bacteriological researches - crops of separated. Crops of the detachable have no diagnostic value, but allow rational and directed use of antibiotic therapy.
The analysis of peripheral blood is performed in severe acute sinusitis and pansinusitis. Characterized by leukocytosis, neutrophilia with a shift of the leukocyte formula to the left, a slight increase in the rate of erythrocyte sedimentation (ESR).
Instrumental methods of diagnosis of acute sinusitis
Anterior rhinoscopy is poorly informative, especially in the first 2-3 days of the disease. Endoscopy of the additional nasal cavity allows to clarify the diagnosis and localization of the process, but in infants and young children such a study is very difficult.
Broadly used radiography of the additional nasal cavity. At the same time, a decrease in aeration of the sinuses, a thickening of the walls, exudate in the cavities is revealed. Currently, the methods of ultrasound scanning and tomography of the nasal cavities are actively introduced, which provide more complete information. A great role is assigned to the methods of radiological research, which some authors consider as a standard for the diagnosis of acute sinusitis.
Differential diagnosis of acute sinusitis
As a rule, differential diagnostics of acute sinusitis is needed to localize the process in one or another sinus of the nose.
[