What medicine is good for sinusitis?

Written by Zhang Jun
Otolaryngology
Updated on November 06, 2024
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Sinusitis is mainly caused by acute inflammatory infections, such as Staphylococcus aureus or Streptococcus pyogenes. When a patient's immunity and resistance are low, these bacteria can invade the sinuses through the sinus openings, leading to congestion, swelling, proliferation, and exudation of the sinus mucosa. Patients will experience persistent nasal congestion and discharge of yellow purulent secretions from the nasal cavity. Additionally, patients may also experience fever, facial swelling and pain, headaches, dry mouth, coughing, and other related symptoms. Upon examination, bilateral nasal turbinate mucosal congestion and swelling can be found, and yellow secretions may be seen adhering in the middle nasal meatus or common nasal passage. In terms of treatment, as it is a bacterial infection, patients firstly need symptomatic anti-inflammatory treatment. Oral cephalosporin antibiotics are effective. Moreover, using saline to rinse the nasal cavity also provides very good results. If necessary, patients may require endoscopic sinus surgery for recovery. (Please use medication under the guidance of a professional physician.)

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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.

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Written by Zhang Jun
Otolaryngology
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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.)

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Written by Li Rui
Otolaryngology
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Should sinusitis use hot compress or cold compress?

Generally speaking, neither cold nor hot compresses are necessary for sinusitis, because sinusitis is mainly an acute or chronic bacterial infection of the sinuses. Common symptoms include nasal congestion, purulent nasal discharge, and reduced sense of smell. Some people may also experience headaches and dizziness. The main treatment is still medication, and it is also possible to consider rinsing the nasal cavity with saline solution, regular follow-ups, and if the inflammation is severe, sinus opening surgery may need to be considered, which currently mainly involves endoscopic sinus surgery. Overall, neither hot nor cold compresses have a therapeutic effect on sinusitis, so they are not recommended.

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Written by Deng Bang Yu
Otolaryngology
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What is the method for examining sinusitis?

Sinusitis refers to the inflammation that occurs in the mucous membrane or cavity of the sinuses. Clinically, the examination of sinusitis includes two aspects: one is the clinical examination, such as anterior rhinoscopy to inspect the nasal cavity, nasal endoscopy to inspect the nasal cavity, the opening of the sinuses, and the nasal passages; on the other hand, some imaging examinations can also be used, such as sinus CT examination, which is very important, and if necessary, sinus MRI can also be performed; there are also some other examination methods, such as nasal resistance examination, examination of sinus and nasal secretions, etc. Therefore, there are quite a few examination methods, among all the examination methods, the most important are the nasal endoscopy and sinus CT examination.

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Written by Li Rui
Otolaryngology
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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.