(1) Acute sinusitis (1) Prevalent groups All populations are susceptible to the occurrence of the disease, more common in younger, older and frailer people.
(2) disease symptoms 1) systemic symptoms often in the course of acute rhinitis aggravated symptoms on the affected side, followed by chills and fever, peripheral discomfort, mental discomfort, loss of appetite, etc., to acute odontogenic maxillary sinusitis systemic symptoms are more dramatic. In children, the fever is higher and systemic symptoms such as convulsions, vomiting and diarrhea may occur in severe cases.
(2) Local symptoms ① Nasal obstruction Persistent nasal congestion on the affected side may occur due to congestion and swelling of the nasal mucosa and accumulation of secretions.
②Purulent discharge More mucopurulent or purulent secretions are blown out of the affected side of the nose, and the snot may contain a little blood at the beginning, and the snot has a foul odor in the case of odontogenic maxillary sinusitis.
(3) Local pain and headache Acute sinusitis is often accompanied by a more intense headache in addition to inflammation leading to nasal pain, which is caused by swelling of the mucous membrane of the sinus cavity and pressure from the retention of secretions or negative pressure triggered by the emptying of secretions, stimulating the trigeminal nerve endings. Acute sinusitis pain has a regularity in its timing and location. The anterior group of sinuses is close to the surface of the skull and its headaches are mostly in the forehead, inner canthus and cheeks, while the posterior group of sinuses is deep in the skull and its headaches are mostly in the top of the head and posterior occipital region. Acute maxillary sinusitis: it often has pain in the forehead, cheek or upper molar, light in the morning and heavy in the afternoon. Acute frontal sinusitis has a huge pain in the forehead in the morning, gradually worsens, and then decreases in the afternoon, and all disappears in the evening. In septal sinusitis, the headache is mostly mild and limited to the inner canthus or the root of the nose, but may also radiate to the top of the head. Pterygoid sinusitis presents with pain deep in the eye that may radiate to the top of the head, and may also present with an occipital headache that is light in the morning and heavy in the afternoon. However, in some people, the pain symptoms are atypical and it is not possible to identify the affected sinus based solely on the characteristics of the headache.
④Decreased sense of smell.
2. Chronic sinusitis (1) Prevalent groups All people are susceptible to it, and it is more common in younger and older frail people.
(2) Disease symptoms 1) Local symptoms ①Purulent nasal discharge is mostly purulent or mucopurulent, yellow or yellow-green, the amount of variable, can flow backward to the pharynx, unilateral odor is most often seen in odontogenic maxillary sinusitis or fungal infection.
② nasal congestion, varying in severity, mostly due to congestion and swelling of nasal mucosa and increased secretions.
③Sniffing disorder Nasal congestion and inflammatory reaction can lead to smell disorder.
④Headache Chronic sinusitis usually has no obvious local pain or headache. If there is a headache, it is often manifested as a dull pain or a feeling of heaviness in the head, heavy during the day and light at night. The anterior group of sinusitis mostly shows swelling or dull pain in the forehead and nasal roots, while the headache in the posterior group of sinusitis is at the top of the head and back of the occipital region. When suffering from odontogenic maxillary sinusitis, it is often accompanied by ipsilateral upper row toothache.
⑤ Other Due to the flow of pus into the pharynx and long-term breathing through the mouth, it is often accompanied by symptoms of chronic pharyngitis, such as sputum, foreign body sensation or dry and painful pharynx. If it affects the eustachian tube, there may also be symptoms such as tinnitus and deafness.
(2) Other symptoms Pressure in the eyes may cause visual impairment, but it is rare. Heavy pressure in the head, or only a dull pain or boring pain.
(3) Systemic symptoms The symptoms are mild or insignificant. Generally, there may be dizziness, easy fatigue, depression, depression, poor memory, insomnia, memory loss, poor concentration, and reduced work efficiency. Very few cases may have persistent low-grade fever if it has become a lesion.