Chronic Sinusitis Overview

Chronic sinusitis is inflammation of the air-filled spaces (sinuses) behind the forehead, cheeks, and eyes, which continues for a long time or keeps coming back.

Sinusitis Couses

Sinusitis is usually due to allergies or infection. When sinusitis keeps coming back or continues for a long period of time, it is considered chronic. Causes of chronic sinusitis include a deviated nasal septum or other blockage of the nose that can trap fluid in a sinus. Dental infections such as tooth abscess may spread into the sinus and also lead to chronic sinusitis. Allergy to the aspergillus species of fungus appears to cause a particularly difficult-to-treat form of chronic sinusitis.The sinuses are openings in the bones around the nose. Four pairs of sinuses connect to small openings in the nose area. Normally, air passes in and out of the sinuses, and mucus and fluid drain from the sinuses into the nose.Chronic sinusitis is much less common than acute sinusitis. Acute sinusitis is often associated with upper respiratory infections and is covered in a separate article. (See Acute sinusitis ). Chronic sinusitis may produce less severe symptoms than acute sinusitis, but it can cause damage and destruction to the tissues of the sinuses.

Sinusitis SymptomsSymptoms may last for 3 months or more. * Facial pain around the eyes or in the forehead or cheeks * Headache (in the front of the head or around the eyes) * Pain in the roof of the mouth or teeth * Cough * Nasal drainage (yellow, yellow-green, thick)

Sinusitis TreatmentThe goal of treatment is to cure the infection and make symptoms go away.Oral decongestants, pills taken by mouth that help relieve a stuffy nose, are sometimes used. Nasal sprays (topical steroids) may help relieve symptoms of chronic sinusitis that are due to allergies.Antibiotics may be given if the infection is caused by bacteria. Antibiotic treatment usually takes 3 to 4 weeks.Over-the-counter analgesics (pain killers) may be used to control pain.Surgery to clean and drain the sinuses may be needed. Surgical repair of a deviated septum or nasal obstruction may prevent chronic sinusitis from returning.

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