Sinusitis / Acute and Chronic

The sinuses are a system of cavities in the anterior part of the skull. Sinuses give lightness to facial bones and
As a result, it is argued that it provides balance in the first place. The exit channels of the sinuses are usually very narrow. To these
Also called ostium.

In cases such as a cold or flu, the mucous membrane surrounding the ostia swells and the outlet channels are blocked. your sinuses
air cannot enter inside, the liquids in the sinus cannot be thrown out. These fluids remaining in the sinuses are a bacterial infection.
they cause infection. Here is the mucous layer that covers the inside of these air-filled spaces.
Inflammation is called sinusitis.

According to their localization, maxillary, ethmoidal, frontal or sphenoidal sinusitis are mentioned.

Sinusitis should be divided into acute and chronic.

Acute Sinusitis
Seasonal change, allergic reactions, decrease in body resistance, taking a bath and going out immediately
Because of this, we get flu or cold, especially in winter.

The organism may not survive this condition and the infection spreads to the sinuses. first appeared and
This non-recurring condition is called “Acute sinusitis”.

What are the Findings?
– Edema around the eyes and pain that increases with pressure at the cheek level are the most typical signs of acute sinusitis.

– Pain that worsens when the head is bent forward is common at the forehead, around the eyes and on both sides of the nose.
This pain, which progresses in crises, makes all our social and physical activities impossible during the day.
It can be severe enough to lead to insomnia at night.

– Nasal congestion, inflamed runny nose, occasional nosebleeds, and decreased sense of smell.
are the findings.

– High fever is seen in cases that are not treated on time.

How Is It Diagnosed?
– Acute sinusitis, which almost always occurs after a flu-like infection, is easy to diagnose. Actually
no additional testing is required

– However, to understand which sinus is involved and whether this sinusitis is unilateral or bilateral.
normal sinus radiographs are requested.

Treatment of Acute Sinusitis
First, a broad-spectrum antibiotic and an anti-inflammatory are given. Steaming is beneficial.
To ensure the drainage of the sinuses, drugs that dissolve the mucous edema and nasal drops are given.

The process of aspiration of the sinus content, called sinus function, can only be caused by high fever and unbearable headache.
It is applied in cases with pain. This operation is performed under local or general anesthesia. Neglect
“Acute sinusitis” that has been treated or not properly treated can easily recur. So it can become chronic.

Chronic Sinusitis
Chronic sinusitis not only puts ENT specialists in a lot of trouble, but also disturbs patients.
It even leads to despair.

It occurs due to obstruction of the ostia and cells that ensure the normal functioning of the sinuses. This
In some cases, a long-term, frequently recurring aeration and emptying (cleaning) problem in the sinuses.
has.

What are the Symptoms of Chronic Sinusitis?
The most important finding in patients; Nasal congestion that worsens at night. That’s why patients
Nasal drops that are very harmful and habit forming for the nasal mucosa in almost every examination.
They say they have been using it for a long time.

There is an insidious headache that is not strong around the eyes and at the forehead level.

Postnasal discharge, also called postnasal drip, can cause burning in the throat, pain, tickling sensation, hoarseness and cough.
causes. This indicates that the infection is spreading downward.

Diagnosis and Treatment of Chronic Sinusitis
Classical radiological examinations have lost their importance. The most reliable information about sinus diseases today
obtained by computerized sinus tomography. It aids the diagnosis and causes pain to the patient while applying.
It is a method that does not.

For every diagnosed chronic sinusitis, medical (drug) treatment should be tried first.

The sinus mucosa is fed over the bone. Bone blood supply is higher than other soft tissues.
it is difficult. For this reason, long-term (10-15 days) antibiotic therapy is applied.

The benefit of misting, drugs that will dilute the fluid in the sinuses and make it easier to expel
has.

After such a combined treatment, the patient is checked again. If the patient’s complaints have not resolved, here

endoscopic methods.

The first thing to do is “DIAGNOSTIC”, which is very valuable and very important for doctors, that is for diagnostic purposes.
endoscopy. Thus, it is revealed that sinusitis continues and anatomical changes that may lead to this situation.
they put.

The curvature of the nasal bone and the growth of the nasal concha are the leading causes of sinusitis.

Allergic reactions and dental infections must be treated.

Until yesterday, the sinus physiology was not fully known and the sinus anatomy was not recognized for a long time.
For years, the treatment of chronic sinusitis has not been very successful.

Chronic sinusitis, which is said to have no definitive treatment among the public, is now “IT IS NOT IMPOSSIBLE”.

Constriction and obstruction in the sinus canals and nasal cavities are nowadays called “ENDOSCOPIC”.
METHOD” is eliminated and sinus aeration and drainage suitable for physiology are provided, therefore
Success is achieved in the treatment of chronic sinusitis.

The old methods have lost all importance because they are not physiological.

Complications

Untreated cases carry a risk of so-called periorbital (around the eyes) complications. This situation
may cause swelling of the eyes, their complete closure, and visual disturbances. Sinuses close to the brain
Since they are organs, they have risks that can go as far as brain inflammation. With such serious problems
Chronic sinusitis must be treated in order not to encounter any problems.

Structural nasal disorders that prevent good breathing and mucus flow can pose a danger of sinusitis.

Sinusitis manifests as an infection or inflammation of the sinuses. A case of acute sinusitis,
large amount as a result of swelling of the nasal lining as a result of a cold or an allergic attack
occurs with mucus secretion.

The membranes can swell so much that the small openings of the sinuses close. sinuses with air and mucus nose
If it cannot move freely between them, mucus accumulates in the sinuses and causes an increase in pressure. This
depending on which sinus is affected, on the face or forehead, between the eyes or
causes pain in the cheeks and upper teeth. The vast majority of sinusitis cases are medically

It responds to treatment and is not dangerous. However, an infection within the sinus can cause damage to both the eye and
very close to the brain. It is very rare for the infection to spread to the eye or brain.

However, mucus flowing from infected sinuses is not healthy for the lungs. sinusitis, bronchitis,
either exacerbates or causes chronic cough and asthma,

During a cold, the nasal covering swells and when the nose is runny or the nose is full of mucus
headache on the face, cheeks, forehead or around the eyes, possibly sinusitis
is pain. “Sinus infection causes it. Another type of sinus headache is the plane is about to land.
occurs when it descends. These features are evident if you have a cold or active allergies.
Unfortunately, there are many causes that can be confused with sinus headache.

For example, migraine and other vascular headaches or tension headaches can occur in both the forehead and eyes.
with sinusitis because it can cause pain around it and also cause a runny nose.
they can be mixed. However, these types of headaches come and go in a short time without the intervention of a doctor. Doctor
They differ from sinusitis, which lasts long without intervention and can only be cured by antibiotic therapy.
However, the occasional headache causing nausea and vomiting is mostly migraine headache.
is pain. A doctor should be consulted for the diagnosis of severe, frequent and long headaches.

Many people, especially those with allergies, may encounter sinus problems.
those with structural nasal disorders that will block the flow of mucus, especially a broken nose or nose
Those who have a cartilage structure that divides the nose into right and left between the holes are at risk of sinusitis.
is faced with. Also, those who are frequently exposed to infection, such as school teachers and medical personnel
Those who smoke with cigarettes are also at risk of sinusitis”

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