What IV fluids are used for sinusitis?

Written by Deng Bang Yu
Otolaryngology
Updated on February 20, 2025
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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 Deng Bang Yu
Otolaryngology
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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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Written by Zhang Jun
Otolaryngology
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How should sinusitis be treated?

Sinusitis is caused by acute inflammatory infections, mainly hemolytic streptococcus or Staphylococcus aureus. Pathogens enter the sinuses through the sinus openings due to the patient catching a cold or having a flu, leading to congestion, swelling, hyperplasia, and exudation in the sinus mucosa. Symptoms include persistent nasal congestion, discharge of yellow secretions from the nasal cavity accompanied by a foul smell, and severe cases may also experience facial swelling, pain, and headaches. In terms of treatment, during the acute phase, patients need to first undergo symptomatic anti-inflammatory treatment, taking oral antibiotics such as cephalosporins, which are very effective. Additionally, physiological saline is used for nasal and sinus irrigation. If conservative treatment is ineffective, patients may require endoscopic sinus surgery and sinus mucosa clearance for recovery. (The use of medications should be under the guidance of a professional doctor.)

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Written by Deng Bang Yu
Otolaryngology
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What is the method for examining sinusitis?

Sinusitis refers to the inflammation that occurs in the mucous membrane or cavity of the sinuses. Clinically, the examination of sinusitis includes two aspects: one is the clinical examination, such as anterior rhinoscopy to inspect the nasal cavity, nasal endoscopy to inspect the nasal cavity, the opening of the sinuses, and the nasal passages; on the other hand, some imaging examinations can also be used, such as sinus CT examination, which is very important, and if necessary, sinus MRI can also be performed; there are also some other examination methods, such as nasal resistance examination, examination of sinus and nasal secretions, etc. Therefore, there are quite a few examination methods, among all the examination methods, the most important are the nasal endoscopy and sinus CT examination.

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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.

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Written by Li Rui
Otolaryngology
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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.