Roentgen evaluation of the

paranasal sinuses
 SINUSITIS

Sinusitis is defined as inflammation in the sinus

mucosa
 ETIOLOGI

In most cases, the purulent sinusitis is

bacterial, with viruses occasionally also
involved. In over 70% of maxillary sinus
aspirates, the major pathogens are
Haemophilus influenzae, Streptococcus
pneumoniae, and in children also Moraxella
catarrhalis. Other bacteria occur only
incidentally
PATHOPHYSIOLOGY
ROENTGENOLOGIC
FIG 1.Eight year old Negro female who was hit in the head
with a brick. She did not lose consciousness, but complained
of being unable to see well. Physical examination was
negative except for swelling over the right posterior parietal
area
 (C) A 12 month old white female with history of nasal discharge at age 8
months and at age 12 months. The mother is not sure ifthe infant has had
fever. Physical examination revealed temperature of 101 F, minimal serous
nasal discharge and mild pharyngeal
infection. Paranasal sinus roentgenograms were requested because of
suspected sinusitis. The maxillary and ethmoid sinuses are opaque.
FIG 3. Comparison of sinus ro ntgenograms in patients
ofGroup i and iii. (A) An I I year old Negro female of
Group , who has noticed bilateral breast development
for 3 months. Skull roentgenograms were requested
for possible intracranial and/or sellar abnormality to
explain primary breast hyperplasia. The left
maxillary sinus is opaque and the right shows mucosal
thickening. The frontal and right ethmoid sinuses are
not developed. There were no signs of sinus disease
and the last upper respiratory infection was when she
had the flu 9 months earlier. The patient proved to
be a normal, healthy female other than for the
roentgen findings in the sinuses. (B) A 12 year old
Negro female of Group III who has had periorbital
edema in the morning for week. There was slight
tenderness over the frontal sinus. She was referred to
the radiologic department because of suspected
frontal sinusitis. There was no periorbital edema or
frontal tenderness when seen by the radiologist. The
maxillary, ethmoid and frontal sinuses are opaque. No
cause for the periorbital edema was found and the
patient received no treatment for sinusitis.