Sinusitis

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Obesity, Sleep & Internal medicine
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Sinusitis
Synonyms	Rhinosinusitis
Pronounce	N/A
Specialty	N/A
Symptoms	Facial pain, headache, nasal congestion, fever
Complications	Meningitis, orbital cellulitis, osteomyelitis
Onset	Rapid or gradual
Duration	Acute (<4 weeks), subacute (4–12 weeks), chronic (>12 weeks)
Types	N/A
Causes	Viral infection, bacterial infection, fungal infection, allergy
Risks	Allergic rhinitis, asthma, cystic fibrosis, smoking
Diagnosis	Based on symptoms, nasal endoscopy, CT scan
Differential diagnosis	Migraine, dental pain, tension headache
Prevention	Hand washing, avoiding smoking, managing allergies
Treatment	Analgesics, nasal irrigation, antibiotics, corticosteroids
Medication	Amoxicillin, doxycycline, decongestants
Prognosis	N/A
Frequency	Common
Deaths	Rare

Sinusitis is inflammation of the lining of the cavities in the bone surrounding the nose (the sinuses), usually as a result of a bacterial infection spreading from the nose.

Sinuses

Sinusitis is an inflammation or swelling of the tissue lining the sinuses. This condition affects millions of people worldwide and can be caused by various factors, including infection, allergies, and nasal polyps. Sinusitis can be classified as acute, subacute, chronic, or recurrent, depending on the duration and frequency of symptoms.

Anatomy of the Sinuses

The human sinuses are a series of connected, air-filled spaces found within the skull. There are four pairs of sinuses, classified as:

• Frontal sinuses (located in the forehead)
• Maxillary sinuses (located under the eyes, in the cheekbones)
• Ethmoid sinuses (located between the eyes)
• Sphenoid sinuses (located behind the eyes)

These cavities are lined with soft, pink tissue called the mucosa. The primary function of the sinuses is to produce mucus, which helps trap dust, dirt, and other airborne particles and moisturize the nasal passages.

Causes of Sinusitis

Sinusitis can be caused by various factors, including:

• Infection: The most common cause of sinusitis is a viral or bacterial infection.
• Allergies: Allergic rhinitis and other allergy-related conditions can lead to sinus inflammation.
• Nasal polyps: These noncancerous growths can obstruct the nasal passages and sinuses.
• Deviated septum: A crooked septum may obstruct the sinus openings, leading to poor drainage and sinusitis.
• Immune system disorders: Conditions that weaken the immune system, such as HIV or cystic fibrosis, can predispose individuals to sinusitis.

Types of Sinusitis

Sinusitis can be classified into four types based on the duration and frequency of symptoms:

• Acute sinusitis: Symptoms last less than four weeks and often result from a cold or other respiratory infection.
• Subacute sinusitis: Symptoms persist for four to twelve weeks.
• Chronic sinusitis: Symptoms last more than twelve weeks and may be caused by persistent infections, nasal polyps, or a deviated septum.
• Recurrent sinusitis: Individuals experience multiple episodes of sinusitis within a year, with periods of no symptoms in between.

Symptoms of Sinusitis

Common symptoms of sinusitis include:

• Nasal congestion
• Thick, discolored mucus
• Pain, tenderness, or swelling around the sinuses
• Headache
• Toothache
• Fatigue
• Bad breath
• Fever
• Cough

Diagnosis of Sinusitis

Diagnosing sinusitis typically involves a combination of a physical examination, patient history, and imaging studies. A doctor may perform a nasal endoscopy, using a thin, flexible tube with a light and camera to examine the nasal passages and sinuses. Imaging studies, such as X-rays or computed tomography (CT) scans, may be used to visualize the sinuses and identify any obstructions or inflammation.

Treatment of Sinusitis

Treatment options for sinusitis depend on the severity, duration, and underlying cause of the condition. Common treatments include:

• Home remedies: Saline nasal sprays, over-the-counter pain relievers, decongestants, and warm compresses may provide relief from symptoms.
• Medications: Antibiotics may be prescribed for bacterial sinusitis, while antihistamines and corticosteroids can help reduce inflammation caused by allergies.
• Nasal corticosteroid sprays: These sprays can help reduce inflammation and are often used for chronic or recurrent sinusitis.
• Immunotherapy: Allergy shots or sublingual tablets may help reduce symptoms of allergic sinusitis over time.
• Surgery: In cases of chronic sinusitis or nasal polyps, endoscopic sinus surgery may be necessary to remove obstructions and improve drainage.

Prevention of Sinusitis

To minimize the risk of developing sinusitis, consider the following preventive measures: Practice good hygiene: Wash your hands frequently and avoid close contact with individuals who have colds or other respiratory infections. Manage allergies: Seek treatment for allergic rhinitis or other allergies to reduce the risk of sinusitis. Use a humidifier: Maintaining a proper humidity level in your home can help prevent sinus congestion and dryness. Avoid smoking: Cigarette smoke and other irritants can cause inflammation and increase the risk of sinusitis.

See Also

• Allergic rhinitis
• Deviated septum
• Nasal polyps
• Common cold
• Influenza

References

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External Links

• Mayo Clinic: Chronic sinusitis
• American Academy of Otolaryngology-Head and Neck Surgery: Sinusitis
• CDC: Sinus Infection (Sinusitis)

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