Indication: Acute Sinusitis Evaluation
Frontal Sinusitis
Maxillary Sinusitis
Otoscope with transillumination attachment
Completely darken the room
Decreased light transmission suggests Sinusitis
Maxillary Sinus
Position patient
Patient's neck in sniffing position
Neck slightly extended back
Patient keeps mouth open (remove upper dentures)
Place transilluminator over the lower orbital rim
Apply light source below inner aspect of eye
Applied just lateral to nose
Direct light source downward toward mouth
Observe for glow on Hard Palate of open mouth
Normal if dim red glow seen on Hard Palate
Compare both sides
Frontal Sinus
Place transilluminator at superior medial orbit edge
Light placed deep under each brow pointed upward
Cover light source with hand over patient's eye
Shields light source from examiner
Transilluminate up through floor of Frontal Sinus
Observe for glow at anterior Frontal Sinus wall
Normal if dim red glow seen over frontal area
Compare both sides