Adult rhinosinusitis defined
Adult rhinosinusitis defined
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DOI：
10.1016/s0194-5998(97)70001-9
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发表时间：
1997-09-01
影响因子：
3.4
通讯作者：
Kennedy, DW
中科院分区：
文献类型：
--
作者：
Lanza, DC;Kennedy, DW
背景一般来说，鼻窦炎可在临床上定义为通过涉及以下的炎症反应表现的病症：鼻腔和鼻旁窦的粘膜（可能包括神经上皮）、这些腔内的流体和/或下面的骨。这些腔中的液体是动态的，并且与鼻和鼻旁窦的骨和软组织中的动态病理变化相关。与鼻窦炎相关的症状包括鼻塞、鼻塞、流涕、鼻脓、鼻后滴漏、面部压迫和疼痛、嗅觉改变、非哮喘引起的咳嗽、发热、口臭、疲劳、牙痛、咽炎、耳科症状（如耳闷和喀喇音）和头痛。虽然大多数医生和研究人员广泛同意鼻窦炎的定义，但鼻窦炎临床诊断的确切基础更难定义。
BACKGROUNDBroadly speaking, sinusitis may be clinically defined as the condition manifested by an inflammatory response involving the following: the mucous membranes (possibly including the neuroepithelium) of the nasal cavity and paranasal sinuses, fluids within these cavities, and/or underlying bone. The fluids within these cavities are dynamic and are related to dynamic pathologic changes in the bone and soft tissues of the nose and paranasal sinuses. Symptoms associated with sinusitis include nasal obstruction, nasal congestion, nasal discharge, nasal purulence, postnasal drip, facial pressure and pain, alteration in the sense of smell, cough not due to asthma, fever, halitosis, fatigue, dental pain, pharyngitis, otologic symptoms (eg, ear fullness and clicking), and headache. Although most physicians and researchers agree broadly on such a definition for sinusitis, the precise basis for the clinical diagnosis of sinusitis is more difficult to define.