How long after sinusitis surgery should a follow-up be conducted?

Written by Deng Bang Yu
Otolaryngology
Updated on September 04, 2024
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Sinusitis, which we now generally refer to as sinusitis, is diagnosed based on specific examinations and surgical interventions are considered when indicated. After surgery, regular follow-ups are necessary, along with nasal cavity cleaning to prevent the recurrence of sinusitis. Typically, after discharging the surgical patient, we advise them to return to the clinic for a follow-up after a week. Subsequently, based on specific conditions during the follow-up, patients are instructed to return for further check-ups after two weeks, four weeks, eight weeks, and even up to three months. This process should continue for about half a year, during which regular clinic visits for follow-ups are necessary. During these visits, the doctor will assess the healing of the sinus cavity and schedule the next follow-up appointment accordingly.

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Written by Deng Bang Yu
Otolaryngology
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What IV fluids are used for sinusitis?

Sinusitis, which we now clinically refer to as sinusitis. When sinusitis acutely flares up, our main treatment is to administer anti-infection medications and corticosteroid drugs. This includes oral medication treatment or intravenous infusion therapy. Clinically, our main approach is the aforementioned medication treatment, and we also conduct CT scans and surgical treatments based on the patient's condition, of course, assessing symptoms before proceeding. Before surgery, preoperative medication preparation is also needed, which involves some infusion therapy, using these medications, including cephalosporin antibiotics and corticosteroid drugs. (The use of medications should be carried out under the guidance of a professional doctor.)

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Written by Li Rui
Otolaryngology
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What is acute sinusitis?

Acute sinusitis is an acute inflammatory response of the sinuses caused by a sudden bacterial infection. Clinically, the most common sites of lesion are the maxillary sinuses and ethmoid sinuses, though some patients may also experience inflammation in the frontal sinuses or sphenoid sinuses. The main symptoms include sudden nasal congestion, purulent nasal discharge, headaches, dizziness, and reduced sense of smell. If the inflammatory response is particularly severe, it may also affect vision or cause fever and a feeling of heaviness in the head. Overall, it is considered to be an acute inflammatory response, primarily treated clinically with antibiotics to counter the infection, along with the use of nasal sprays and nasal irrigation, typically with saline solution. Regular follow-up checks are required, and the recovery period generally lasts about one to two weeks. (Medication should be used under the guidance of a doctor based on specific circumstances.)

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Written by Li Rui
Otolaryngology
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How to treat sinusitis?

The treatment of sinusitis is mainly divided into three categories. The first category is observation and follow-up; the second category is medication treatment; the third is surgical treatment. If the sinusitis is very mild and does not have obvious clinical symptoms, and the nasal cavity is relatively clean, most of these cases can be considered for observation without particular treatment. If the inflammation is more pronounced, accompanied by nasal congestion, a runny nose, headache, and dizziness, most of these cases should consider medication treatment, which usually involves oral medications and nasal sprays. Additionally, rinsing the nasal cavity with saline can be considered. If the inflammatory response is particularly severe and symptoms are pronounced, and if standard medication treatment is ineffective, surgery may need to be considered. Currently, the main surgical option is endoscopic sinus surgery. Generally, this approach is quite effective, causes less damage, and allows for a relatively quick recovery.

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Written by Li Rui
Otolaryngology
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What are the symptoms of sinusitis?

The symptoms of sinusitis vary significantly between individuals. In cases of mild inflammation, there may be no symptoms, and the condition might only be discovered during a physical examination or through a head or sinus CT scan. However, in some patients with more severe inflammatory reactions, clinical symptoms can occur. Common clinical symptoms include nasal congestion, thick nasal discharge, reduced sense of smell, headache, dizziness, as well as potential facial pain, numbness, and vertigo. Some individuals may also experience changes in vision or field of vision. Generally, sinusitis is a common disease. Usually, it can be diagnosed based on clinical symptoms and examination of the nasal cavity. Some patients may need to undergo a CT scan, and in severe cases, surgery might be considered necessary.

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Written by Deng Bang Yu
Otolaryngology
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Can sinusitis cause headaches?

Sinusitis, now commonly referred to as sinusitis, is primarily caused by purulent secretions from bacterial infections that irritate structures, leading to symptoms such as toxic headaches and dizziness. During sinusitis, blockage of the sinus openings can cause negative pressure within the sinus cavity, which may also lead to pressurized headaches. Additionally, if sinusitis is accompanied by hypertrophy of the nasal turbinates or a deviated nasal septum, it can stimulate a nerve reflex causing neuralgic headaches. Therefore, it is certain that clinical sinusitis or paranasal sinusitis can cause headaches.