How to treat sinusitis?

Written by Li Rui
Otolaryngology
Updated on November 27, 2024
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The treatment for sinusitis primarily involves conservative medication, as well as surgical procedures. Generally, conservative medical treatment is the standard first-line method. In terms of treatment methods, antibacterial therapy is mainly used, along with the oral administration of traditional Chinese medicine preparations, and mucolytic agents, which help alleviate sinus inflammation and facilitate the discharge of secretions from the nasal and sinus cavities. Additionally, nasal irrigation with saline solution can be considered to further improve the condition. If standardized medical treatment is ineffective, or in cases of fungal sinusitis, we may consider conducting minimally invasive sinus surgery using nasal endoscopy. Overall, the outcomes of surgical treatment are usually quite good, but regular follow-up examinations are needed to check for any recurrence of the condition.

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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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How to alleviate sinusitis?

The acute phase of sinusitis largely depends on the extent of the inflammation. If the inflammation is mild and the symptoms are atypical or slight, saline nasal irrigation can be considered. If the inflammatory reaction is severe and accompanied by clear symptoms like nasal congestion, purulent nasal discharge, headaches, and dizziness, then medical treatment should be considered. Generally, the treatment consists primarily of oral antibiotics, along with traditional Chinese medicines and mucolytics, supplemented with nasal sprays. Regular follow-ups are advised, and the treatment period usually ranges from one to two weeks. If standardized medication does not work, or in the case of fungal sinusitis, surgery may be necessary.

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Written by Deng Bang Yu
Otolaryngology
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Can sinusitis turn into cancer?

Sinusitis, commonly referred to as sinus inflammation, mainly involves the mucosal membrane of the sinus cavity or the sinus itself. In the clinical course of the disease, we have not observed sinusitis or secondary sinusitis directly transforming into a malignant tumor, nor have we seen or observed the carcinogenic process. Clinically or pathologically, there is no evidence of this. However, we have observed malignant tumors of the sinuses, such as maxillary sinus cancer or ethmoid sinus cancer. It is found that 80% to 85% of these patients have sinus inflammation. Therefore, we speculate that sinusitis may be evolving into sinus cancer, or inflammation may play a role in the process of sinus cancer. In summary, there is no direct evidence that secondary sinusitis leads to cancer, but in diagnosing sinus cancer, the presence of sinus inflammation has been observed.

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Written by Zhang Jun
Otolaryngology
1min 16sec home-news-image

How to deal with frontal headache caused by sinusitis?

In the acute phase, symptomatic anti-inflammatory treatment is needed, which can be administered orally or intravenously through antibiotics, whereas chronic sinusitis requires local surgical treatment. The frontal headache caused by sinusitis is generally common in frontal sinusitis. Frontal sinusitis is a common type of sinusitis which occurs when the body's immunity is lowered, allowing bacteria to invade along the opening of the frontal sinuses, thus affecting the mucous membranes of the frontal sinuses, leading to congestion, swelling, proliferation, and exudation. Patients may experience symptoms such as nasal congestion, runny nose, and frontal swelling pain. An examination with an endoscope and a CT scan of the sinuses will reveal purulent secretions in both nasal cavities. At the same time, enlargement of the nasal conchae on both sides can block the nasal passages causing nasal congestion in patients. In terms of treatment, the acute phase requires symptomatic anti-inflammatory treatment. Generally, in cases of bacterial infection, patients can achieve good results with oral or intravenous antibiotic treatment. However, for chronic sinusitis, local surgical treatment is required for cure.

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Written by Li Rui
Otolaryngology
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Can sinusitis heal on its own?

Sinusitis may recover on its own. This primarily depends on the extent of the specific inflammatory responses, as well as clinical symptoms and the patient's own immunity. If the sinusitis is very mild, the clinical symptoms are not severe, and the patient's immunity is relatively strong, recovery is indeed possible. Additionally, with acute sinusitis, some patients naturally tend to recover on their own. However, in cases of chronic sinusitis or severe inflammatory responses in acute sinusitis, where symptoms like nasal congestion, purulent nasal discharge, headaches, and dizziness are more pronounced, it is generally advisable to consider timely medical treatment. It may also be beneficial to incorporate saline nasal washes and schedule regular follow-up examinations to observe effects.