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In most cases of sinus barotrauma, localized pain to the frontal area is the predominant symptom. This is due to pain originating from the frontal sinus, it being above the brow bones. Less common is pain referred to the temporal, occipital, or retrobulbar region. Epistaxis or serosanguineous secretion from the nose may occur.
Maxillary sinusitis is common due to the close anatomic relation of the frontal sinus, anterior ethmoidal sinus and the maxillary teeth, allowing for easy spread of infection. Differential diagnosis of dental problems needs to be done due to the close proximity to the teeth since the pain from sinusitis can seem to be dentally related. [ 1 ]
The frontal sinuses are one of the four pairs of paranasal sinuses that are situated behind the brow ridges. Sinuses are mucosa -lined airspaces within the bones of the face and skull. Each opens into the anterior part of the corresponding middle nasal meatus of the nose through the frontonasal duct which traverses the anterior part of the ...
It is the location of the openings for the frontal sinus, maxillary sinus, and anterior ethmoidal sinus. It is bounded inferiorly and anteriorly by the sharp concave margin of the uncinate process of the ethmoid bone, superiorly by the ethmoidal bulla, and posteriorly by the ethmoidal process of the inferior nasal concha. [4]
Maxillary sinuses. Frontal sinuses, seen with an oblique view. Ethmoidal cells. Sphenoid sinus, seen through the open mouth. Odontoid process, where if it is just below the mentum, it confirms adequate extension of the head. The frontal sinus may not show the frontal sinus in detail. [1]
The frontonasal duct is a duct through which either frontal sinus drains into the nasal cavity. [2] [3] Each frontal sinus opens into the frontonasal duct by an opening (the opening of frontal sinus or frontal sinus aperture [4]) on the inferomedial part [3] of the floor of the sinus. [4]
Paranasal sinuses are a group of four paired air-filled spaces that surround the nasal cavity. [1] The maxillary sinuses are located under the eyes; the frontal sinuses are above the eyes; the ethmoidal sinuses are between the eyes and the sphenoidal sinuses are behind the eyes.
The sphenoid sinus is a paired paranasal sinus in the body of the sphenoid bone. It is one pair of the four paired paranasal sinuses. [1] The two sphenoid sinuses are separated from each other by a septum. Each sphenoid sinus communicates with the nasal cavity via the opening of sphenoidal sinus.