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Loss of cillia
Polipy,
DNS,
Adenoi
Impaired Mucosal Changes Allergy
d
Drainage
Tumour
,
Allergy
Infections
Medical treatments.
To avoid the allergyc factors
Topical nasal glucocorticosteroid
Oral antihistamine
Decongestants
Broad Spectrum antibiotics
Surgery
FESS
case
Januari 12th, 2017, A 16 years old Girl come to ENT Department dr.
Pirngadi General Hospital Medan with the complaint of nasal stuffines.
The nasal stuffiness had occured for 5 years. The patients also
complain of facial pain, purulent nasal discharge,foul smelling nasal
discharge and headache . there is a history of allergy that signed with
the complaint of sneezing almost every morning and the patients had
undertaken the allergy test from another hospital while the result is
unclear. On Physical Examination, The polip nasal can be seen with the
anterior rhinoscopy from both nasal cavity ,There is The nasal Purulent
discharge can be seen at the wall of pahrynx. No Caries dentist from
inspection from oral Cavity
The doctor planned to performed nasoendoscopy and CT scan of Sinus.
In The nasoendoscopy viewed polyp formation and nasal discharge at
both of the Medial turbinate. In the Ct Scan Sinus the doctor viewed
the picture of pansinusitis.
The patient treated with corticosteroid nasal spray, antibiotic,
analgetic and anti histamin. All of therapies was given 2 weeks before
the functional endoscopy sinus surgery (FESS) was perfomed.
Nasoendoscopy
Polyp
CT scan
Frontalis Sinusitis
CT Scan
Sinusitis Ethmoidalis
CT Scan
Sinusitis Sphenoidalis
FESS
In this case the cause of pansinusitis with nasal polyposis is the long
time nasal and sinus mucous inflammation due to the uncontrol
allergy and not treated adequately. The patient have complained of
nasal congestion for 5 years and there is a history of allergy. What is
the allergen for the patients is unclear.
After the patient treated with corticosteroid nasal spray,
antihistamin, analgetic and broad spetrum antibiotics for 2 weeks, no
ssignificant changing with the complain of the patient. Therefor, the
doctor decide to perform FESS for this patient.
The procedure that was done in FESS are polipectomy, unsinectomy
bilateral, ethmoidectomi bilateral, frontectomy bilateral and
sphenoidectomy bilateral.
Discussion