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Õ inflammation of the sinuses, which are air-filled


cavities in the skull

Õ etiology can be infectious (bacterial, viral, or fungal) or


noninfectious (allergic) triggers.

Õinflammation leads to blockade of the normal sinus


drainage pathways (sinus ostia), which in turn leads to
mucus retention, hypoxia, decreased mucociliary
clearance, and predisposition to bacterial growth.
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3lockage of ostia (deviated nasal septum, bony abnormalities,


congenital malformations, infection or allergy)

Mucus retention , hypoxia, decreased mucociliary clearance,


and predisposition to bacterial growth.
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¬ mign and mymptoms:
¬ Redness and swelling of the nasal passages,
¬ Fever
¬ Chills along with headaches
¬ Facial pain exacerbated with bending
¬ Pain or numbness in the upper teeth
¬ Purulent (pus like)or discolored nasal discharge may be
present
¬ Tenderness to percussion (tapping) over the cheeks or
forehead region of the sinuses
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¬ Function Endoscopic minus murgery (FEmm)
¬ Local or general anesthesia
¬ Reestablish sinus ventilation and mucociliary clearance
¬ mmall fiber optic endoscopes
Complications
¬ Nasal bleeding, , pain, scar formation
¬ Rarely cerebrospinal fluid leak and blindness resulting
from the intra orbital hematoma formation or direct
injury to the optic nerve
¬ External mphenoethmoidectomy
¬ Nursing Management ( Post operative)

¬ Observe for profuse bleeding, respiratory distress,


ecchymosis, orbital and facial edema.

¬ Apply ice compresses to the noose and cheek to


minimize edema and control bleeding.

¬ Place the client in a position with the head of the bed


greater than 45 degrees for 24 to 48 hrs after surgery to
minimize post operative edema.
¬ Nasal Packing is generally removed in the morning after
the surgery
¬ Give mild analgesics to minimize discomfort
postoperatively and before removal of packing.
¬ Instruct client to increase fluid intake
¬ Minor nasal bleeding is expected for 24 to 48 hrs after
surgery. Use of a drip pad under the nose may eliminate
the need for constant wiping.
¬ Instruct client to avoid blowing the nose for 7 to 10
days after surgery. Tell them to sniff backward or spit
not blow.
¬ Teach client to sneeze only with the mouth open
¬ Explain that the client is to engage in minimal physical
exercise and avoid strenuous activity, lifting and
straining for 2 weeks.