How to alleviate sinusitis?

Written by Li Rui
Otolaryngology
Updated on September 26, 2024
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The acute phase of sinusitis largely depends on the extent of the inflammation. If the inflammation is mild and the symptoms are atypical or slight, saline nasal irrigation can be considered. If the inflammatory reaction is severe and accompanied by clear symptoms like nasal congestion, purulent nasal discharge, headaches, and dizziness, then medical treatment should be considered. Generally, the treatment consists primarily of oral antibiotics, along with traditional Chinese medicines and mucolytics, supplemented with nasal sprays. Regular follow-ups are advised, and the treatment period usually ranges from one to two weeks. If standardized medication does not work, or in the case of fungal sinusitis, surgery may be necessary.

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Written by Li Rui
Otolaryngology
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How to treat sinusitis?

The treatment for sinusitis primarily involves conservative medication, as well as surgical procedures. Generally, conservative medical treatment is the standard first-line method. In terms of treatment methods, antibacterial therapy is mainly used, along with the oral administration of traditional Chinese medicine preparations, and mucolytic agents, which help alleviate sinus inflammation and facilitate the discharge of secretions from the nasal and sinus cavities. Additionally, nasal irrigation with saline solution can be considered to further improve the condition. If standardized medical treatment is ineffective, or in cases of fungal sinusitis, we may consider conducting minimally invasive sinus surgery using nasal endoscopy. Overall, the outcomes of surgical treatment are usually quite good, but regular follow-up examinations are needed to check for any recurrence of the condition.

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Written by Li Rui
Otolaryngology
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Is hot compress useful for sinusitis?

Sinusitis is a relatively common otolaryngological disease. Hot compresses do not have a clear therapeutic effect on the condition itself, but they may help relieve symptoms of nasal congestion and runny nose. Patients with sinusitis should visit an otolaryngology clinic after the onset of symptoms for examinations such as nasal endoscopy and sinus CT scans to assess the severity of the disease. Most patients need to consider treatment with oral medications and nasal sprays. During the treatment process, it is necessary to have regular follow-ups to observe the effectiveness of the treatment. If the results of standardized medication treatment are not satisfactory and the clinical symptoms are severe, then surgical treatment should be considered. After surgery, regular follow-up visits are also necessary to monitor for any recurrence.

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Written by Li Rui
Otolaryngology
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Does sinusitis require surgery?

Sinusitis does not necessarily require surgery; in some cases, medication treatment can be considered. This approach mainly depends on the severity of the sinusitis and the patient's overall symptoms. Especially for acute sinusitis or cases of mild chronic sinusitis, medication is generally the first choice. Furthermore, most patients can effectively alleviate symptoms and improve their condition through standardized medical treatment. The main treatments are oral medications and nasal sprays, and it is also advisable to consider cleansing the nasal cavity with saline solution followed by regular check-ups. In cases of fungal sinusitis or severe inflammatory reactions in chronic sinusitis, surgery might be considered. Generally, surgery is a common minimally invasive procedure with good outcomes.

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Written by Deng Bang Yu
Otolaryngology
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Is sinusitis the same as rhinitis?

There are differences between rhinitis and sinusitis. Rhinitis is mainly the inflammation of the nasal mucosa, while sinusitis is the inflammation of the sinus cavity mucosa. The main clinical symptoms of rhinitis are nasal congestion and a runny nose. This runny nose is mostly mucous or watery, which is typically seen in allergic rhinitis. The runny nose in sinusitis, on the other hand, is often a thick yellow discharge caused by a bacterial infection, so there is a distinction between the two. Patients with sinusitis often have rhinitis, but those with rhinitis do not necessarily have sinusitis. Rhinitis is primarily treated with medications and rarely with surgery. For sinusitis, treatment also begins with medications; however, if the response to medical therapy is poor or the condition is severe, surgery is often considered. The likelihood of undergoing surgical intervention is generally higher for sinusitis than for rhinitis.

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Written by Zhang Jun
Otolaryngology
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Treatment of Chronic Rhinitis and Sinusitis

Chronic rhinitis and chronic sinusitis are due to persistent inflammation following acute inflammatory stimuli or recurrent attacks, leading to nasal and systemic symptoms. Patients may experience facial swelling and pain, headaches, and nasal congestion, generally bilateral and progressively worsening. Additionally, there may be yellow purulent discharge from the nasal cavity, sometimes accompanied by an odor. The examination can reveal congested and edematous bilateral nasal turbinates and abnormal secretions in the nasal cavity. For treatment, patients initially need a sinus CT scan; if sinusitis is confirmed, symptomatic anti-inflammatory treatment is necessary, including oral antibiotics, such as cephalosporins, which are relatively effective. Saline nasal irrigation is also required. If conservative treatment fails, the patient may need endoscopic sinus surgery and partial resection of the bilateral inferior turbinates to recover.