{"entities":{"Q42810":{"pageid":33178,"ns":120,"title":"Item:Q42810","lastrevid":149446,"modified":"2026-08-13T09:30:32Z","type":"item","id":"Q42810","labels":{"mul":{"language":"mul","value":"CA0A"},"pt-br":{"language":"pt-br","value":"Rinossinusite cr\u00f4nica"},"en":{"language":"en","value":"Chronic rhinosinusitis"}},"descriptions":{"pt-br":{"language":"pt-br","value":"Sinusite \u00e9 uma inflama\u00e7\u00e3o do revestimento mucoso dos seios paranasais secund\u00e1ria a mecanismos infecciosos e al\u00e9rgicos. A reten\u00e7\u00e3o de secre\u00e7\u00f5es sinusais \u00e9 o evento mais importante no desenvolvimento da sinusite. Ela cria o ambiente favor\u00e1vel para o crescimento de agentes infecciosos e pode ser causada por obstru\u00e7\u00e3o ou estreitamento de \u00f3stio sinusal, disfun\u00e7\u00e3o mucociliar e altera\u00e7\u00f5es na composi\u00e7\u00e3o do muco. 90% das infec\u00e7\u00f5es dos seis paranasais envolve o seio maxilar. Sinusite cr\u00f4nica se refere a sintomas com dura\u00e7\u00e3o de 3 meses ou mais. O diagn\u00f3stico de sinusite \u00e9 baseado, sobretudo, na anamnese e no exame f\u00edsico. A TC \u00e9 o m\u00e9todo de imagem mais sens\u00edvel para uma avalia\u00e7\u00e3o da doen\u00e7a. Os objetivos do tratamento da sinusite cr\u00f4nica s\u00e3o erradicar a infec\u00e7\u00e3o, aliviar a obstru\u00e7\u00e3o ostiomeatal, restabelecer o clareamento mucociliar e prevenir complica\u00e7\u00f5es. Quando o tratamento medicamentoso n\u00e3o promove qualquer melhora significativa ou quando a abordagem cir\u00fargica pode ser indicada por complica\u00e7\u00e3o do paciente, a interven\u00e7\u00e3o cir\u00fargica deve ter o objetivo de restabelecer uma drenagem sinusal atrav\u00e9s do \u00f3stio. A cirurgia sinusal endosc\u00f3pica funcional (CSEF) descreve t\u00e9cnicas que t\u00eam revolucionado o tratamento da doen\u00e7a sinusal. O procedimento tem a finalidade de restaurar a fun\u00e7\u00e3o fisiol\u00f3gica de aera\u00e7\u00e3o e drenagem sinusais atrav\u00e9s da expans\u00e3o do complexo ostiomeatal, enquanto minimiza a altera\u00e7\u00e3o cir\u00fargica das vias anat\u00f4micas normais."},"en":{"language":"en","value":"Sinusitis is an inflammation of the mucosal lining of the paranasal sinuses secondary to both infectious and allergic mechanisms. The retention of sinus secretions is the most important event in the development of sinusitis. This creates a favourable milieu for the growth of infection agents and may be caused by the obstruction or narrowing of sinus ostia, mucociliary dysfunction and changes in mucus composition. 90% of sinus infections involve the maxillary sinus. Chronic sinusitis refers to symptom duration lasting 3 months or more. Diagnosis of sinusitis is based on past history and physical examination findings. The CT scan is the most sensitive technique in evaluating sinus disease. The goals of management of chronic sinusitis are to eradicate infection, to relieve ostiomeatal obstruction, to normalize mucociliary clearance, and to prevent complications. When pharmaceutical treatment does not have any remarkable improvement or when a surgical approach can be chosen as patient's complication, surgical intervention should be aimed to establish an effective sinus drainage from the ostium. Functional endoscopic sinus surgery (FESS) describes endoscopic techniques that have revolutionized the approach to sinus disease. The procedure is aimed at restoring the functional physiology of sinus aeration and drainage via the expanded ostiomeatal complex while minimizing surgical alteration of the normal anatomic pathways."}},"aliases":{},"claims":{"P68":[{"mainsnak":{"snaktype":"value","property":"P68","hash":"859f5271889bf3f195eda0800cdf83ea0ce4827a","datavalue":{"value":"https://id.who.int/icd/entity/1836987572","type":"string"},"datatype":"url"},"type":"statement","id":"Q42810$B5589CDF-8EBB-4C2C-B2B7-A6DF60A690B9","rank":"normal"}],"P67":[{"mainsnak":{"snaktype":"value","property":"P67","hash":"c17ebfb54e16e6242e814d0980056f25b5ed0798","datavalue":{"value":"CID11:CA0A","type":"string"},"datatype":"string"},"type":"statement","id":"Q42810$DF0881BF-A422-48D4-BA1E-8A5732F60A80","rank":"normal"}],"P70":[{"mainsnak":{"snaktype":"value","property":"P70","hash":"ce181d98e776fd0a717c96c46bf04911f6030de9","datavalue":{"value":"dki-india-CA0A","type":"string"},"datatype":"string"},"type":"statement","id":"Q42810$99CDC8DA-497D-4AE3-9533-6B48743E15E1","rank":"normal"}],"P86":[{"mainsnak":{"snaktype":"value","property":"P86","hash":"a96031634b9f5dafddaf781bbba3adea6bb64ef4","datavalue":{"value":"Conclu\u00eddo","type":"string"},"datatype":"string"},"type":"statement","id":"Q42810$2CB71FD8-BE7F-4EB9-A4EE-E9FDD32833F8","rank":"normal"}],"P78":[{"mainsnak":{"snaktype":"value","property":"P78","hash":"5f9b5be68b7400da549761cf15abfdbc4d1e075b","datavalue":{"value":"https://pauloleads.com.br/cases-publicos/","type":"string"},"datatype":"url"},"type":"statement","id":"Q42810$6C1C308E-593D-4ACA-8654-BA19C69A1C23","rank":"normal"}],"P80":[{"mainsnak":{"snaktype":"value","property":"P80","hash":"92b8222fcbb75718504f915073a3f43bd4003d18","datavalue":{"value":{"time":"+2026-08-13T00:00:00Z","timezone":0,"before":0,"after":0,"precision":11,"calendarmodel":"http://www.wikidata.org/entity/Q1985727"},"type":"time"},"datatype":"time"},"type":"statement","id":"Q42810$1647928B-9DC5-4E51-9D54-9D3DB55942D8","rank":"normal"}],"P89":[{"mainsnak":{"snaktype":"value","property":"P89","hash":"97c3951c855e8048fdad0f7f7fd0b44a175796ba","datavalue":{"value":{"entity-type":"item","numeric-id":18650,"id":"Q18650"},"type":"wikibase-entityid"},"datatype":"wikibase-item"},"type":"statement","id":"Q42810$722DFCB4-B1E0-4DD2-9FD9-3126770E6D47","rank":"normal"}]},"sitelinks":{}}}}