How to deal with frontal headache caused by sinusitis?

Written by Zhang Jun
Otolaryngology
Updated on January 09, 2025
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In the acute phase, symptomatic anti-inflammatory treatment is needed, which can be administered orally or intravenously through antibiotics, whereas chronic sinusitis requires local surgical treatment.

The frontal headache caused by sinusitis is generally common in frontal sinusitis. Frontal sinusitis is a common type of sinusitis which occurs when the body's immunity is lowered, allowing bacteria to invade along the opening of the frontal sinuses, thus affecting the mucous membranes of the frontal sinuses, leading to congestion, swelling, proliferation, and exudation. Patients may experience symptoms such as nasal congestion, runny nose, and frontal swelling pain.

An examination with an endoscope and a CT scan of the sinuses will reveal purulent secretions in both nasal cavities. At the same time, enlargement of the nasal conchae on both sides can block the nasal passages causing nasal congestion in patients.

In terms of treatment, the acute phase requires symptomatic anti-inflammatory treatment. Generally, in cases of bacterial infection, patients can achieve good results with oral or intravenous antibiotic treatment. However, for chronic sinusitis, local surgical treatment is required for cure.

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Can sinusitis turn into cancer?

Sinusitis, commonly referred to as sinus inflammation, mainly involves the mucosal membrane of the sinus cavity or the sinus itself. In the clinical course of the disease, we have not observed sinusitis or secondary sinusitis directly transforming into a malignant tumor, nor have we seen or observed the carcinogenic process. Clinically or pathologically, there is no evidence of this. However, we have observed malignant tumors of the sinuses, such as maxillary sinus cancer or ethmoid sinus cancer. It is found that 80% to 85% of these patients have sinus inflammation. Therefore, we speculate that sinusitis may be evolving into sinus cancer, or inflammation may play a role in the process of sinus cancer. In summary, there is no direct evidence that secondary sinusitis leads to cancer, but in diagnosing sinus cancer, the presence of sinus inflammation has been observed.

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What is the best treatment for sinusitis?

The treatment of sinusitis is currently divided into two main categories: conservative treatment and surgical treatment. The specific choice of treatment mainly depends on the severity and type of sinusitis. For fungal sinusitis, conservative treatment generally does not yield good results. If the patient's condition permits and their physical health can tolerate surgery, it is generally recommended to perform sinus opening surgery under endoscopy. For bacterial sinusitis with mild inflammation, unclear symptoms, or relatively mild symptoms, conservative drug treatment can be considered. This usually involves oral medications and nasal sprays, and saline nasal irrigation can also be considered. If the inflammatory response is more severe and the symptoms are typical, and conservative treatment is ineffective, sinus opening surgery should be considered. Currently, minimally invasive surgery under endoscopy is employed, which generally yields precise results, causes less damage, and allows for a quicker recovery.

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Symptoms of sinusitis recovery

Sinusitis is a relatively common otolaryngological disease. If sinusitis is cured after treatment, clinically it means that the symptoms have subsided; there is no nasal congestion, no purulent nasal discharge, normal sense of smell, and no headache, dizziness, or blood in the nasal discharge. However, individual differences in treatment outcomes do exist. During the treatment process, regular follow-up visits are necessary to observe the recovery status of the condition. Additionally, combining nasal endoscopy, routine blood tests, and sinus CT scans with the doctor's clinical experience can help determine whether the sinusitis has healed. However, some patients may experience a recurrence of symptoms after treatment.

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How to relieve headache from sinusitis?

Sinusitis is currently the general term for what was traditionally called accessory sinusitis. Accessory sinusitis can cause headaches, which is a clinical manifestation of sinusitis. The clinical treatment of headaches primarily targets the sinusitis itself. The causes of the headaches are twofold: one is the headache caused by the irritation of purulent secretions, and the other is the negative pressure headache caused by blockage of the sinus opening and the resultant intrasinus pressure. The treatment includes using medications that constrict the blood vessels in the mucous membranes and then clearing the sinus openings. Additionally, it is crucial to actively pursue anti-inflammatory and anti-infection treatments, primarily using macrolide antibiotics or cephalosporin antibiotics. (Medication should be used under the guidance of a doctor.)

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Symptoms of recurrent sinusitis

The symptoms of recurrent sinusitis are essentially the same as those of sinusitis itself. Symptoms can be divided into local symptoms, which are those of the nasal cavity, as well as some systemic symptoms, because the recurrence of sinusitis often follows a cold that leads to an acute recurrence. The nasal symptoms mainly include nasal discharge, primarily consisting of yellow pus-like mucus. There may also be nasal congestion or a sensation of the nose being blocked, as well as headaches. The location and severity of the headache depend on which sinus is more severely inflamed, which also affects where the headache is felt. Additionally, there may be a disturbance in the sense of smell, which refers to a reduced sensitivity to smells, or a reduced ability to smell or weak sense of smell. Systemic symptoms mainly include lethargy, feelings of headache and weakness, lack of concentration, and a general lack of energy. Overall, the symptoms of recurrent sinusitis are similar to those of initial sinusitis, with most being the same.