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Tonsillitis and Sinusitis: A Narrative Review of Pathogenesis, Diagnosis, and Management

The review aims for a comprehensive examination of tonsillitis and sinusitis, covering their pathophysiology, diagnosis, and management, with a focus on recent breakthroughs and therapeutic practices. Tonsillitis, marked by inflammation of the tonsils, can result from viral or bacterial infections,...

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Detalles Bibliográficos
Autores principales: Singh, Harshit, Bhatt, Asmi, Kumar, Mayank, Deshmukh, Prasad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10652663/
https://www.ncbi.nlm.nih.gov/pubmed/38021555
http://dx.doi.org/10.7759/cureus.47192
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author Singh, Harshit
Bhatt, Asmi
Kumar, Mayank
Deshmukh, Prasad
author_facet Singh, Harshit
Bhatt, Asmi
Kumar, Mayank
Deshmukh, Prasad
author_sort Singh, Harshit
collection PubMed
description The review aims for a comprehensive examination of tonsillitis and sinusitis, covering their pathophysiology, diagnosis, and management, with a focus on recent breakthroughs and therapeutic practices. Tonsillitis, marked by inflammation of the tonsils, can result from viral or bacterial infections, particularly Streptococcus pyogenes, with attention to antibiotic resistance trends. This review discusses clinical manifestations, diagnostic criteria, and the importance of distinguishing viral from bacterial causes. Therapeutic interventions like antibiotics and tonsillectomy indications are evaluated within evolving guidelines. Regarding sinusitis, it explores its origins, contributing factors, and classification based on duration and pathophysiology. Viral infections, allergens, and structural anomalies' roles in pathogenesis are highlighted. Diagnostic modalities like imaging and endoscopic exams are assessed for their efficacy in guiding management decisions. The importance of precise diagnosis through clinical examination, microbiological testing, and imaging is emphasized for informed treatment choices. This review also delves into minimally invasive surgical procedures, particularly endoscopic sinus surgery and tonsillectomy, showcasing progress in these areas. In summary, it provides insights into tonsillitis and sinusitis, offering perspectives on their aetiology, diagnosis, and treatment while integrating current research and clinical standards to enhance patient care and healthcare resource utilization.
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spelling pubmed-106526632023-10-17 Tonsillitis and Sinusitis: A Narrative Review of Pathogenesis, Diagnosis, and Management Singh, Harshit Bhatt, Asmi Kumar, Mayank Deshmukh, Prasad Cureus Pediatrics The review aims for a comprehensive examination of tonsillitis and sinusitis, covering their pathophysiology, diagnosis, and management, with a focus on recent breakthroughs and therapeutic practices. Tonsillitis, marked by inflammation of the tonsils, can result from viral or bacterial infections, particularly Streptococcus pyogenes, with attention to antibiotic resistance trends. This review discusses clinical manifestations, diagnostic criteria, and the importance of distinguishing viral from bacterial causes. Therapeutic interventions like antibiotics and tonsillectomy indications are evaluated within evolving guidelines. Regarding sinusitis, it explores its origins, contributing factors, and classification based on duration and pathophysiology. Viral infections, allergens, and structural anomalies' roles in pathogenesis are highlighted. Diagnostic modalities like imaging and endoscopic exams are assessed for their efficacy in guiding management decisions. The importance of precise diagnosis through clinical examination, microbiological testing, and imaging is emphasized for informed treatment choices. This review also delves into minimally invasive surgical procedures, particularly endoscopic sinus surgery and tonsillectomy, showcasing progress in these areas. In summary, it provides insights into tonsillitis and sinusitis, offering perspectives on their aetiology, diagnosis, and treatment while integrating current research and clinical standards to enhance patient care and healthcare resource utilization. Cureus 2023-10-17 /pmc/articles/PMC10652663/ /pubmed/38021555 http://dx.doi.org/10.7759/cureus.47192 Text en Copyright © 2023, Singh et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Pediatrics
Singh, Harshit
Bhatt, Asmi
Kumar, Mayank
Deshmukh, Prasad
Tonsillitis and Sinusitis: A Narrative Review of Pathogenesis, Diagnosis, and Management
title Tonsillitis and Sinusitis: A Narrative Review of Pathogenesis, Diagnosis, and Management
title_full Tonsillitis and Sinusitis: A Narrative Review of Pathogenesis, Diagnosis, and Management
title_fullStr Tonsillitis and Sinusitis: A Narrative Review of Pathogenesis, Diagnosis, and Management
title_full_unstemmed Tonsillitis and Sinusitis: A Narrative Review of Pathogenesis, Diagnosis, and Management
title_short Tonsillitis and Sinusitis: A Narrative Review of Pathogenesis, Diagnosis, and Management
title_sort tonsillitis and sinusitis: a narrative review of pathogenesis, diagnosis, and management
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10652663/
https://www.ncbi.nlm.nih.gov/pubmed/38021555
http://dx.doi.org/10.7759/cureus.47192
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