“Sinusitis is the inflammation of the air spaces between the facial bones, namely the sinuses. It causes a throbbing pain in the face, accompanied by nasal congestion and postnasal drip.

Is the headache usually caused by sinusitis?

No, that statement would be incorrect. Most of the headaches, about 85 percent, are tension-type headaches, and 5 percent are of sinusitis origin. Of course there are other reasons as well.

Sinusitis is more common in winter, can we say it’s a winter disease?

Sinusitis can develop especially after untreated colds and flu. Since we catch colds more often in winter, we can say that sinusitis is a winter disease in a way, but there are many patients who suffer from sinusitis in the summer period.

Can sinusitis recur?

If you have sinusitis frequently despite appropriate treatment, there is definitely an underlying cause. Either the curvature of the bone that causes nasal obstruction, enlargement of the nasal flesh or the allergic nature of the person is causing sinusitis. Rarely, there may be other reasons, of course, it needs to be investigated.

What are the diseases associated with sinusitis?

If the sinus infection spreads to the surrounding tissues and bone structures, it can cause inflammation of the facial bones, blindness, meningitis and brain abscess. These are extremely dangerous and require immediate treatment. Sinusitis is a condition that needs to be carefully monitored, especially in children.

What are the tricks of the treatment?

Appropriate use of antibiotics may be required. Supportive treatment can also be given. In acute cases, the duration of treatment usually varies between 10-14 days. In chronic cases, drug therapy should be continued for one month. If you have a runny nose that lasts for more than 7 days, or if you have a prolonged cold or flu, you are likely to have sinusitis. For this reason, do not say that you have a cold, and take your precautions.

So when is surgery needed?

In cases where the disease becomes chronic and there is no response to drug treatment, surgery is required. To restore the ventilation of the sinuses, the sinus canals are cleaned with endoscopic sinusitis surgery. If the infection spreads to the eye, brain and surrounding bone structures, that is, if complications develop, surgical treatment is activated. Surgical treatment in chronic bacterial sinusitis is quite satisfactory.

What would you recommend to avoid sinusitis?

It is necessary to stay away from fatigue, insomnia and malnutrition, which reduce our immune system and therefore our resistance. Nasal congestion must be treated. Also, don’t go out into cold weather with wet hair. The humidity of the air in our home and workplace should not be too low. Let’s pay special attention to prolonged flu and cold.

What are the causes of nasal congestion?

The curvature of the middle section, which consists of cartilage and bone in the inner part of the nose, is a very important reason. Nasal growths and polyps that occur in allergic people also cause nasal congestion. Smoking and air pollution are also important causes.

Can you explain how smoking causes nasal congestion?

Cigarette smoke impairs the cleaning function in the nose and sinuses. Thus, particles and dust remain in the nose, which causes edema of the tissue on the inner surface of the nose, and the nasal flesh swells and grows.

What is the connection between nasal congestion and sinusitis?

First of all, sinuses need to be well ventilated in order to maintain their functions, sinusitis may develop because sinus aeration is adversely affected in nasal congestion. In addition, the formation of congestion in the channels where the fluid in the sinuses drains regularly, prepares the ground for sinusitis. Therefore, it is important to find and treat the underlying cause of nasal congestion in order to prevent recurrent sinusitis attacks.

From what age can nasal bone curvature, that is, deviation surgery, be performed?

Nasal curvature surgery can be performed after the development of facial bones is completed. Surgery can be performed from 17-18 years of age.

How is the surgery performed?

Although my preference is for general anesthesia, deviation surgery can also be performed with local anesthesia. Correction of the cartilage and bone part that narrows the nasal canals is performed with an incision made from the inside of the nose, but in some cases we need an open technical approach. It is necessary to perform functional rhinoplasty, especially in cases where there are curvatures and collapses in the outer part of the nose that seriously affect breathing. Since the nose is a dynamic structure, it would be wrong to think that only deviation or nasal concha causes nasal congestion. Nose wings, nasal roof, nasal root and axis curvature problems can cause nasal congestion.

So what do you do in nose meat growth?

First of all, it is necessary to define the nasal concha growth, also known as turbinate swelling. Allergy should also be treated in allergic cases. We sometimes do drug therapy, sometimes radiofrequency surgery, and sometimes we solve this problem with reduction surgery.

How is the recovery process after nose surgery?

Nasal surgeries are more comfortable today than in the past, for example, surgery can be performed without using tampons, which is the fearful dream of patients. Sometimes we do not place anything in the nose, we keep the apparatus we call corrugated silicone in the nose for a maximum of 24-48 hours, but the patient can breathe through the nose. The healing process is quite fast. Even in the most severe surgeries, one can return to social life on the seventh day at the latest. Although pain and bruising vary from person to person, they are not bothersome.

There are also many patients who have had nose surgery but their nasal congestion continues, this obviously scares those who want to have surgery, can I learn your opinions?

The nose is actually a very dynamic structure. There are many factors that affect nasal breathing. Apart from nasal bone curvature and nasal concha enlargement, many reasons such as collapse of the nose wings, narrowness of the nasal ridge, weak cartilage structure of the nose, but thick and drooping skin can cause nasal congestion. I think the most important point here is the correct diagnosis. Even if you solve the problem of nasal bone curvature, the breathing problem will not go away unless you can detect and correct the collapse of the nasal wing during breathing. In experienced hands, the probability of revision after nasal surgery is very low, around 5%, which are problems that can be solved with small interventions of 15-20 minutes.

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