How to treat sinusitis?

Written by Li Rui
Otolaryngology
Updated on December 13, 2024
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The treatment of sinusitis is mainly divided into three categories. The first category is observation and follow-up; the second category is medication treatment; the third is surgical treatment. If the sinusitis is very mild and does not have obvious clinical symptoms, and the nasal cavity is relatively clean, most of these cases can be considered for observation without particular treatment. If the inflammation is more pronounced, accompanied by nasal congestion, a runny nose, headache, and dizziness, most of these cases should consider medication treatment, which usually involves oral medications and nasal sprays. Additionally, rinsing the nasal cavity with saline can be considered. If the inflammatory response is particularly severe and symptoms are pronounced, and if standard medication treatment is ineffective, surgery may need to be considered. Currently, the main surgical option is endoscopic sinus surgery. Generally, this approach is quite effective, causes less damage, and allows for a relatively quick recovery.

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Written by Deng Bang Yu
Otolaryngology
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What IV fluids are used for sinusitis?

Sinusitis, which we now clinically refer to as sinusitis. When sinusitis acutely flares up, our main treatment is to administer anti-infection medications and corticosteroid drugs. This includes oral medication treatment or intravenous infusion therapy. Clinically, our main approach is the aforementioned medication treatment, and we also conduct CT scans and surgical treatments based on the patient's condition, of course, assessing symptoms before proceeding. Before surgery, preoperative medication preparation is also needed, which involves some infusion therapy, using these medications, including cephalosporin antibiotics and corticosteroid drugs. (The use of medications should be carried out under the guidance of a professional doctor.)

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Written by Yan Xin Liang
Pediatrics
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Symptoms of sinusitis in babies

Baby sinusitis is divided into acute sinusitis and chronic sinusitis. Acute sinusitis often occurs during the course of acute rhinitis, with worsened symptoms on the affected side, which can include chills, fever, general malaise, lack of energy, nasal obstruction, purulent nasal discharge, localized pain, headache, reduced sense of smell, and decreased appetite. The symptoms of chronic sinusitis are relatively mild or not obvious, generally including dizziness, easy fatigue, listlessness, poor appetite, reduced memory, and lack of concentration.

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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.

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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 Deng Bang Yu
Otolaryngology
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Can sinusitis cause headaches?

Sinusitis, now commonly referred to as sinusitis, is primarily caused by purulent secretions from bacterial infections that irritate structures, leading to symptoms such as toxic headaches and dizziness. During sinusitis, blockage of the sinus openings can cause negative pressure within the sinus cavity, which may also lead to pressurized headaches. Additionally, if sinusitis is accompanied by hypertrophy of the nasal turbinates or a deviated nasal septum, it can stimulate a nerve reflex causing neuralgic headaches. Therefore, it is certain that clinical sinusitis or paranasal sinusitis can cause headaches.