Sinusitis is an inflammation of the paranasal sinuses, which may or may not be as a result of infection, from bacterial, fungal, viral, allergic or autoimmune issues. The paranasal sinuses are air-filled cavities in the facial bones that open into the nasal passage through tiny holes called ostia. Sinusitis occurs when the sinuses become inflamed and the ostia become blocked. In acute uncomplicated sinusitis, symptoms last less than one month, and may be treated by a generalist physician.
Chronic sinusitis, defined as sinusitis of at least three months’ duration, requires the care of an ear, nose, and throat specialist. Acute sinusitis often occurs in the common cold and in the first ten days of symptoms there is reason to wait since things often improve on their own. In fact, a recent study suggests that treatment with a nasal steroid spray is as good as antibiotics in acute sinusitis. Beyond 10 days, it’s likely that things have evolved into a bacterial sinusitis.
Anyone can get a bacterial sinusitis but it’s more likely if you have allergies, smoke cigarettes have some certain anatomic variances within your sinuses or if you have an immune deficiency. Bacterial sinusitis can relapse and require more than one round of antibiotics.
Chronic sinusitis is potentially much more complicated than acute sinusitis depending upon the cause. Some patients with chronic sinusitis have localized areas of infection due to their sinus anatomy that might respond well to surgery alone. For others there is widespread swelling of the sinus membranes and though surgery may help some of these patients, they also need careful close monitoring and medications to keep the sinus swelling in check.
Find common causes and risk factors of Complicated Sinusitis:
Sign and symptoms may include the following:
Treatment may include: