What should be paid attention to with sinusitis?

Written by Li Rui

Otolaryngology

Updated on September 28, 2024

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The precautions for sinusitis mainly include the following aspects:

First, it is important to determine the degree and type of sinusitis. Currently, sinusitis is primarily classified into two main types: fungal sinusitis and bacterial sinusitis. It is recommended to assess the severity of the inflammation. For mild inflammation, conservative treatment is generally considered. For severe inflammation or fungal sinusitis, surgery may be necessary.

Second, it is important to take precautions in daily life to avoid exacerbating sinusitis, especially by avoiding colds and opting for a lighter diet.

Third, monitor the recovery of sinusitis in daily life and check for any possible complications. Therefore, it is necessary to visit an otolaryngology (ENT) clinic regularly for follow-up.

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Written by Li Rui

Otolaryngology

52sec

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Does sinusitis require surgery?

Sinusitis does not necessarily require surgery; in some cases, medication treatment can be considered. This approach mainly depends on the severity of the sinusitis and the patient's overall symptoms. Especially for acute sinusitis or cases of mild chronic sinusitis, medication is generally the first choice. Furthermore, most patients can effectively alleviate symptoms and improve their condition through standardized medical treatment. The main treatments are oral medications and nasal sprays, and it is also advisable to consider cleansing the nasal cavity with saline solution followed by regular check-ups. In cases of fungal sinusitis or severe inflammatory reactions in chronic sinusitis, surgery might be considered. Generally, surgery is a common minimally invasive procedure with good outcomes.

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Written by Yao Jun

Otolaryngology - Head and Neck Surgery

53sec

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What is sinusitis?

Sinusitis is an inflammation of the sinuses, divided into two types: one with nasal polyps, known as chronic sinusitis with nasal polyps, and one without nasal polyps, known as chronic sinusitis without nasal polyps. If it is chronic sinusitis with nasal polyps, functional endoscopic sinus surgery should be performed to remove the swellings, open the ethmoid sinuses, and treat with medication. If it is chronic sinusitis without nasal polyps, clinically, antibiotics and anti-allergy medications can be used, along with some topical corticosteroids. Avoid spicy and irritating foods, and drink plenty of water. The treatment duration for chronic sinusitis should be at least three months, and care should be taken to avoid colds, staying up late, and overheating. (Specific medications should be taken under the guidance of a physician.)

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Written by Li Rui

Otolaryngology

47sec

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Symptoms of sinusitis recovery

Sinusitis is a relatively common otolaryngological disease. If sinusitis is cured after treatment, clinically it means that the symptoms have subsided; there is no nasal congestion, no purulent nasal discharge, normal sense of smell, and no headache, dizziness, or blood in the nasal discharge. However, individual differences in treatment outcomes do exist. During the treatment process, regular follow-up visits are necessary to observe the recovery status of the condition. Additionally, combining nasal endoscopy, routine blood tests, and sinus CT scans with the doctor's clinical experience can help determine whether the sinusitis has healed. However, some patients may experience a recurrence of symptoms after treatment.

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Written by Li Mao Cai

Otolaryngology

1min 21sec

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How should sinusitis be treated?

The treatment of sinusitis should be based on the specific conditions of each patient, and different treatment plans can generally be divided into two categories. The first is conservative treatment. Conservative treatment mainly includes medication and some local nasal irrigation or puncture methods. This type of conservative treatment generally has good effects, and can relieve the pain and alleviate the symptoms of most patients with sinusitis. Apart from conservative treatment, The second method is surgical treatment. Surgical treatment now involves the reconstruction of nasal and sinus function under endoscopy. This type of surgical treatment can also be considered a minimally invasive and precise treatment plan. However, despite being minimally invasive and precise, it is still a surgery and does involve some trauma. Therefore, surgical treatment is only considered when conservative treatment is ineffective. Surgical treatment is just the beginning of a systematic approach to treating sinusitis. It can be understood this way: after the surgery, the follow-up medication treatment, which is a set of conservative treatment plans, and regular check-ups need to be promptly followed up. Reliance solely on surgical treatment may not achieve particularly ideal long-term effects.

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Written by Zhang Jun

Otolaryngology

1min 1sec

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Can sinusitis be cured completely?

Sinusitis can be completely cured. Sinusitis, also known as rhinosinusitis, is a condition caused by bacterial infection due to weakened immunity and resistance. Typically, patients may experience sudden high fever with a body temperature above 38°C, dryness and pain in the nasal cavity, and yellow discharge might be present in the nose. Examination can reveal congestion and significant edema of the bilateral middle and inferior turbinates, and abnormal secretions may be found in the middle meatus or common nasal passage. In terms of treatment, since it is a bacterial infection, patients can orally take cephalosporin or penicillin antibiotics, which are effective. Additionally, nasal irrigation with saline solution is necessary. If conservative treatment fails, patients may need to undergo endoscopic sinus surgery and sinus mucosa cleaning to achieve complete recovery. (Medications should be used under the guidance of a doctor.)