How long after sinusitis surgery should a follow-up be conducted?

Written by Deng Bang Yu
Otolaryngology
Updated on September 04, 2024
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Sinusitis, which we now generally refer to as sinusitis, is diagnosed based on specific examinations and surgical interventions are considered when indicated. After surgery, regular follow-ups are necessary, along with nasal cavity cleaning to prevent the recurrence of sinusitis. Typically, after discharging the surgical patient, we advise them to return to the clinic for a follow-up after a week. Subsequently, based on specific conditions during the follow-up, patients are instructed to return for further check-ups after two weeks, four weeks, eight weeks, and even up to three months. This process should continue for about half a year, during which regular clinic visits for follow-ups are necessary. During these visits, the doctor will assess the healing of the sinus cavity and schedule the next follow-up appointment accordingly.

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Written by Deng Bang Yu
Otolaryngology
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How to treat sinusitis?

In clinical practice, the treatment for sinusitis depends on the patient's symptoms, whether it is acute or chronic sinusitis, and whether there are any complications associated with acute sinusitis. Generally, for sinusitis, the main treatment involves the local use of nasal corticosteroids sprays such as mometasone furoate. Additionally, oral anti-inflammatory drugs are used, mainly macrolide antibiotics such as erythromycin and clarithromycin. Some Chinese patent medicines that open orifices aromatically can also be used, such as Bi Tong Jing Granules and Dan Xiang Bi Yan Tablets, to provide auxiliary treatment. Of course, a CT scan of the sinuses can also be performed to assess the extent of the lesion and determine if the problem can be resolved through surgery. (Please use medications under the guidance of a doctor.)

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Written by Zhang Jun
Otolaryngology
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How should sinusitis be treated?

Sinusitis is caused by acute inflammatory infections, mainly hemolytic streptococcus or Staphylococcus aureus. Pathogens enter the sinuses through the sinus openings due to the patient catching a cold or having a flu, leading to congestion, swelling, hyperplasia, and exudation in the sinus mucosa. Symptoms include persistent nasal congestion, discharge of yellow secretions from the nasal cavity accompanied by a foul smell, and severe cases may also experience facial swelling, pain, and headaches. In terms of treatment, during the acute phase, patients need to first undergo symptomatic anti-inflammatory treatment, taking oral antibiotics such as cephalosporins, which are very effective. Additionally, physiological saline is used for nasal and sinus irrigation. If conservative treatment is ineffective, patients may require endoscopic sinus surgery and sinus mucosa clearance for recovery. (The use of medications should be under the guidance of a professional doctor.)

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Written by Li Rui
Otolaryngology
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Can sinusitis cause a fever?

Sinusitis can potentially cause fever, primarily seen in cases of acute sinusitis or acute exacerbation of chronic sinusitis. Additionally, some cases are due to a systemic or localized inflammatory response caused by fungal sinusitis, leading to related changes in the condition. For fever, it is first necessary to check the body temperature. If the temperature is below 38.5 degrees Celsius, physical cooling methods are generally recommended. If the temperature exceeds 38.5 degrees Celsius, antipyretic medications should be considered. In cases of acute bacterial infections, timely antibiotic treatment for infection should be considered, along with using saline solution to wash the nasal cavity. If inflammation occurs repeatedly and conservative medication treatment is not effective, surgery may need to be considered.

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Written by Xu Qing Tian
Otolaryngology
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Is sinusitis a serious illness?

Sinusitis is a common and frequently occurring disease in otolaryngology. Patients with sinusitis mainly suffer from blockages at the sinus openings due to polyps, tumors, and mucosal edema, which leads to pus and fluid accumulation within the sinuses. The primary symptoms in patients include nasal congestion, runny nose, headaches, and fever. For patients with sinusitis, the first step should be to use a paranasal sinus CT scan to make a definitive diagnosis of the disease and identify the affected sinus locations. Treatment can then involve the use of decongestants and corticosteroid medications to address symptoms. For sinusitis caused by foreign bodies or nasal polyps and tumors, surgical opening of the sinus openings can be performed to restore normal sinus drainage and cure the disease. (Specific medications should be used under the guidance of a doctor.)

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Written by Deng Bang Yu
Otolaryngology
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Does sinusitis require surgery?

Sinusitis refers to inflammation of the sinus, clinically mainly bacterial inflammation, as well as fungal inflammation. Whether sinusitis requires surgery depends on the specific condition of the patient. Endoscopic examination of the nose and sinus CT scans can be carried out to assess the condition of the sinus lesions. If there is a lot of sinus secretion and the sinus cavity is congested, and there is polypoid changes in the overall nasal passage, surgical treatment may be considered. For the vast majority of sinusitis patients, the current viewpoint is that treatment is mainly through medication, and only a small part needs surgical treatment after assessment. Therefore, sinusitis does not necessarily require surgery. Start with medication treatment; if the effect is not good, or there are other concurrent issues, consider surgical treatment after assessment.