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Recognition and management of sinusitis

K L Evans1

  • 1Department of Otolaryngology, Gloucester Royal Hospital, England.

Drugs
|July 17, 1998
PubMed
Summary

Acute and chronic sinusitis involve sinus inflammation, often following infections. Treatment ranges from symptomatic relief and antibiotics for acute cases to managing underlying rhinitis and potential surgery for chronic sinusitis.

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Area of Science:

  • Otolaryngology
  • Infectious Diseases

Background:

  • Acute sinusitis commonly follows upper respiratory infections, presenting with headache, facial pain, fever, and purulent rhinorrhea.
  • Chronic sinusitis is defined by symptoms lasting over 3 months, including nasal obstruction, rhinorrhea, and postnasal drip, often linked to rhinitis or anatomical issues.

Purpose of the Study:

  • To outline the diagnostic criteria and treatment strategies for both acute and chronic sinusitis.
  • To discuss the medical and surgical management options for chronic sinusitis, emphasizing the restoration of sinus function.

Main Methods:

  • Diagnosis of acute sinusitis relies on symptom presentation.
  • Chronic sinusitis management involves controlling rhinitis, improving sinus ventilation, and considering surgical interventions if medical treatment fails.

Main Results:

  • Symptomatic treatment with analgesics, decongestants, and antibiotics is standard for acute sinusitis.
  • Medical management for chronic sinusitis includes topical corticosteroids, mast cell stabilizers, or antihistamines, alongside saline nasal douching. Surgical options aim to enhance sinus drainage and ventilation.

Conclusions:

  • Effective management of sinusitis requires addressing underlying causes like rhinitis and anatomical factors.
  • Potential complications, including intraorbital and intracranial sepsis, necessitate prompt evaluation and intervention, often involving advanced imaging and surgical drainage.

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