The study was carried out on 320 patients with sinusititis at Hue Centre Hospital from Sept. 1998 to Mar. 2000; 76.5% of patients were 16-45 years old, 43.8% male and 56.2% female, 43% with 1 year long of the disease. The causes were infection 76.5%, allergy rhins-sinusitis 50.9%. Favorable factors: 49.1% local, 11.6% environmental, 2.5% systemic status. Clinical symptoms were headache 71.5%, cararrhal rhinitis 65.3% (posterior) and 48.4% (anterior), obstructive rhinitis 36.9%. Acite form sinusitis 12.8%, chronic 87.2%. In Blondeau Hirlz film: dim image of ethmoid sinus 96.4%, maxial sinus 60.6%, sphenoid sinus 24.2%, frontal sinus 5.2%. Complications occurred in 48.7%, the common were inflammation of the throat 27.2%, media otitis 21.9%. Within one year, the complication occurred in 35.8%, more 1 year 58%
Sinusitis ; Diseases ; complications ; epidemiology

Adult ; Humans ; Male ; Maxillary Sinusitis ; complications ; Nasal Polyps ; complications

OBJECTIVE: To master the clinical manifestations of rhinogenic headache and improve the diagnostic ability of chronic rhinosinusitis accompanied by primary headache. METHOD: The clinical manifestations, the diagnostic process, and the treatment of 1 patient with headache were analyzed, and also the related articles were studied. RESULT: Rhinogenic headache and primary headache had different clinical features and different treatment. In clinical work misdiagnosis were easily made if not being carefully analyzed. CONCLUSION Diagnosis of rhinogenic headache do need strong clinical evidence, but the differential diagnosis of other headache should be made.
Cluster Headache ; complications ; Humans ; Male ; Middle Aged ; Sinusitis ; complications

Deafness ; complications ; Humans ; Middle Aged ; Osteochondrodysplasias ; complications ; Rhinitis ; complications ; Sinusitis ; complications

Chronic rhinosinusitis with nasal polyps (CRSwNP) and asthma is a common clinical refractory airway disease. Comprehensive treatment of nasal endoscopic surgery including nasal endoscopic surgery and medication, which can significantly improve nose-pulmonary symptoms and make sinusitis and asthma easier to be controlled by medication, has certain superiority. But the existence of disease heterogeneity of CRSwNP with asthma causes different reactions to the current treatment, which manifests as parts of polyps and asthma easy to recur and difficult to control. According to the research recently, the study of the heterogeneity of airway diseases, for example endotype, is a hot area of research. Endotype is a subtype of a condition, which is defined by a distinct functional or pathobiological mechanism. This is distinct from a phenotype, which is any observable characteristic or trait of a disease. Different Inflammatory subtypes often represent different pathophysiology and even different pathogenesis. The concept of inflammatory subtypes of airway diseases provides a new perspective for studies of airway diseases of endotype and the mechanism of combined airway diseases. This review summarizes recent advances in the clinical characterization and treatment of the CRSwNP with asthma. On this basis, we analyze and summarize the heterogeneity of CRSwNP and asthma separately from the perspective of inflammatory subtypes. Then according to the concept of the combined airway diseases and the common pathogenesis, we put forward the definition of inflammatory subtypes of the CRSwNP with asthma and preliminarily discuss the method of the definition.
Asthma ; complications ; Chronic Disease ; Endoscopy ; Humans ; Nasal Polyps ; complications ; Rhinitis ; complications ; diagnosis ; Sinusitis ; complications ; diagnosis

The datas of epidemiological, clinical, and immunopathology demonstrate there is an important link between upper and lower airways. The upper airways diseases including the allergy rhinitis, the professional rhinitis, the sleep apnea and hypoventilation syndrome, nose polyposis (with/without aspirin sensitive), the chronic rhinosinusitis and so on, have an important contacting with lower airways diseases. Understanding how the upper airway does affect the lower airway disease, has the influential role to diagnosis, the treatment and the prognosis. This article made the brief summary on the important relation about among the nose, the paranasal sinus and the lung recent years.
Asthma ; complications ; Humans ; Lung Diseases, Obstructive ; complications ; Rhinitis ; complications ; Sinusitis ; complications

Aged ; Humans ; Male ; Middle Aged ; Mycoses ; complications ; Nasal Septal Perforation ; complications ; microbiology ; Sinusitis ; complications ; microbiology

Biological Products ; Chronic Disease ; Humans ; Nasal Polyps/complications* ; Rhinitis/complications* ; Sinusitis/complications*

Chronic Disease ; Humans ; Nasal Polyps/complications* ; Rhinitis/complications* ; Rhinitis, Allergic ; Sinusitis/complications* ; Staphylococcal Infections/complications* ; Staphylococcus aureus

By analyzing the diagnosis and treatment of a patient who suffered from painful ophthalmoplegia and acute rhinosinusitis, authors further identified the clinical features of painful ophthalmoplegia, and the differential diagnosis of those diseases which might cause migraine and ophthalmoplegia to avoid clinical misdiagnosis and mistreatment.
Acute Disease ; Humans ; Male ; Sinusitis ; complications ; Tolosa-Hunt Syndrome ; complications ; Young Adult