ISSN 2398-2977      

Paranasal sinus: lavage

pequis

Introduction

  • Treatment of sinusitis involves the same basic principles as those for any closed-space infection including adequate drainage, lavage with large volumes of sterile fluid and antimicrobial therapy.
  • Systems to allow long-term lavage of the paranasal sinuses can be fitted in the standing patient or during surgery under general anesthesia (GA).

Uses

Advantages

  • Can be performed under standing sedation.
  • Relatively simple procedure.
  • Very effective in cases of primary sinusitis.

Disadvantages

  • Not effective in secondary sinusitis cases unless primary problem is addressed, eg dental disease.
  • Usually not effective if pus has become inspissated.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Good for lavage.
  • Overall dependent upon primary disease process and access surgery.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Beste K J, Lawhon S D, Chamoun-Emanuelli A M et al (2020) Culture-independent and dependent evaluation of the equine paranasal sinus microbiota in health and disease. Equine Vet J 52 (3), 455-463 PubMed.
  • O'Leary J M & Dixon P M (2011) A review of equine paranasal sinusitis. Aetiopathogenesis, clinical signs and ancillary diagnostic techniques. Equine Vet Ed 23 (3), 148-159 VetMedResource.

Other sources of information

  • Nickels F A (2012) Chapter 43 - Nasal Passages and Paranasal Sinuses. In: Equine Surgery. 4th edn. Eds: Auer J A & Stick J A. W B Saunders, USA. pp 557-568.
  • Tremaine W H & Freeman D E (2007) Disorders of the Paranasal Sinuses. In: Equine respiratory medicine and surgery. Saunders Elsevier, USA. pp 403-404.

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