Sinusitis involves the inflammation of the sinuses. Acute sinusitis is a temporary condition and is defined as having the symptoms for less than 12 weeks whereas chronic sinusitis is defined as having symptoms for at least 12 weeks.
Sinusitis can be highly-debilitating to its sufferers with reduced quality of life. It causes symptoms such as facial pain, headache, bad breath, difficulty in breathing, loss of sense of smell and taste as well as vision loss. It is caused by an anatomical obstruction such as deviated nasal septum, nasal polyps and swollen turbinates. It can also happen due to respiratory tract infections such as cold. These infections may be due to virus, bacteria or even fungal. Besides that, allergy conditions such as hay fever may also give rise to sinusitis due to inflammation that blocks the sinus passage. People with cystic fibrosis, gastro-oesophageal disease (GERD) or [url=https://www.doctoroncall.com.my/hiv-aids]Human Immunodeficiency Virus (HIV)[/url] are highly prone to sinusitis.
Depending on the cause, a permanent method to get rid of sinusitis may be not possible in most cases. Despite that, there are treatments available to keep sinusitis at bay for a long period of time. The response to the treatment vary according to individuals. There are several established treatments available to keep sinusitis at bay as follows:
(1) Medical therapy
If a bacterial infection is established as the cause of sinusitis, a course of antibiotics will be prescribed by the doctor. Amoxicillin is commonly being prescribed for a bacterial sinus infection and the course may last between 3 to 28 days. This course must be completed and taken accordingly to prevent recurrent infections.
If the cause of sinusitis is hay fever, medications such as anti-histamines will be prescribed to reduce the inflammation caused by the allergic reaction towards certain substances such as pollen, dust, pet fur and chemicals.
(iii) Nasal steroid spray
The main purpose of steroids is to reduce inflammation in the case of nasal polyps. To ensure there is a permanent resolution of sinusitis, this medication may need to be taken for long term ranging from several months to a year. However, this medication must be taken as prescribed. If taken in high doses over a long period of time, side effects such as nose irritation or dryness may happen. However, these effects are usually mild and bearable.
When medical therapies as mentioned above fail, a surgery may be an option. In a sinus surgery, the blocked sinuses will be cleared to restore the normal sinus drainage and function. Previously, open incision was done that requires the removal of bone and tissue to restore the normal sinus passage. Currently, there are surgeries available that can be done through the nasal passage with no scars and a good recovery.
(i) Balloon Sinuplasty
It is a minimally invasive surgery in which a balloon catheter is placed through the nasal passage into the blocked sinus passageway. The balloon will be inflated to restructure and open the sinuses, thus restoring the normal sinus drainage and function. This procedure can be done within ten minutes and does not require a hospital admission.
(ii) Endoscopic Sinus Surgery
A surgical instrument together with a tiny camera will be inserted into the nasal passage to provide a view of the sinuses. During this procedure, a part of bone or material blocking the sinuses will be removed. Sometimes, a laser will be used to burn away the tissue that is blocking the sinus passage. This procedure too does not require a hospital admission.
For more information read [url=https://www.doctoroncall.com.my/sinusitis]sinusitis guide by DoctorOnCall[/url] on their website.
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