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Sinusitis is an inflammation of the maxillary sinuses, which are located on both sides of the nasal cavity and are connected to it by a small opening. It is accompanied by swelling of the mucous membrane and impaired secretion, which often leads to the development of infection and the formation of pus.
The main manifestations of sinusitis are nasal congestion, profuse discharge, facial swelling and headache. Their intensity may vary depending on the stage of the disease.
With timely diagnosis, sinusitis is well treatable with drug therapy and physiotherapy procedures (nasal irrigation). However, if the moment is missed, the disease can become chronic.
At the Oxford Medical Medical Center, otolaryngologists with many years of experience diagnose and treat sinusitis. Equipping the clinic with new expert-class equipment allows for highly accurate examinations and the use of modern methods of therapy, including minimally invasive surgery.
Most often, sinusitis develops as a complication of rhinitis, sinusitis or other diseases of the ENT organs and respiratory system.
Other causes may be:
Chronic sinusitis can worsen with weakened immunity and hypothermia. This explains the seasonal nature of the disease - in many cases, symptoms worsen in autumn and spring.
Symptoms of sinusitis may vary depending on the form and stage of the disease.
The main signs are:
difficulty breathing through the nose
viscous yellow-green discharge
a feeling of fullness in the maxillary sinuses
decreased sense of smell
facial swelling in the lower eyelids and cheeks
headache
increased body temperature
general weakness
Classification of sinusitis helps the doctor choose the most effective treatment.
If symptoms of sinusitis appear, it is advisable to immediately consult an otolaryngologist. Only a doctor can make the correct diagnosis and choose an effective treatment.
During the consultation, the ENT doctor finds out what complaints the patient has, studies the medical history and conducts an examination. Sinusitis is diagnosed based on clinical manifestations and the results of an x-ray of the maxillary sinuses.
In some cases, a sinus puncture may be required to clarify the diagnosis to take a sample of exudate and conduct an analysis. Also, sometimes an ultrasound of the additional sinuses, computed tomography, endoscopic examination, blood tests and other examinations are prescribed according to indications.
The treatment tactics depend on the form and stage of the disease. The patient may be prescribed:
At “Oxford Medical” treatment is carried out by otolaryngologists, who draw up an individual therapy program for each patient. The clinic has all the conditions for accurate diagnosis, physiotherapy and surgical manipulations.
In acute sinusitis, conservative therapy is usually performed. It may include taking antibacterial, anti-inflammatory, antihistamine, immunomodulatory and other drugs. The doctor makes a prescription based on the nature and cause of the disease (infectious or allergic etiology), as well as the symptoms that bother the patient.
In addition, washing the nasal cavity using the Proetz method ("Zozulya") is considered effective. During the procedure, pus is removed and the mucous membrane is treated with an antiseptic.
Also, as part of complex therapy, other physiotherapeutic procedures may be prescribed: electrophoresis, ultraviolet irradiation, etc.
If conservative therapy is ineffective or a large amount of pus accumulates, a puncture (puncture) of the maxillary sinus may be required. It allows you to remove exudate, which helps reduce nasal congestion and the amount of discharge. If pus collects repeatedly, the puncture is done several times.
In advanced forms of sinusitis, as well as a chronic course with 2-3 relapses per year, the patient may be recommended a maxillary sinusotomy - surgical opening of the maxillary sinus.
The procedure is performed in several ways:
This is the least traumatic method, which involves access to the maxillary sinus through the nasal cavity. After the operation, there is no swelling or bruising, and the rehabilitation period is quite quick.
Access to the sinus is provided through a small incision above the chewing teeth. Through it, microsurgical instruments are inserted, which allow the removal of accumulated secretions, sanitation of the cavity and treatment with medications.
It is performed according to the Caldwell-Luke method. First, an incision is made under the upper lip, and then a small hole is made in the sinus wall for the insertion of microsurgical instruments. It is used for complicated forms of sinusitis, as well as for the removal of polyps and cysts. After the manipulations are completed, sutures are applied.
Today, endonasal or microsurgical sinusotomy is most often performed. They do not require hospitalization and are accompanied by a shorter and easier rehabilitation period.
Oxford Medical has created all the conditions for high-quality diagnostics and effective treatment of sinusitis. The clinic has installed new equipment that allows for accurate examinations, as well as physiotherapeutic and surgical procedures. Thanks to this, as well as the involvement of a team of experienced specialists, each patient receives assistance in accordance with the highest quality standards.
To make an appointment with an otolaryngologist, call our contact center or leave a request on the website.
If not treated promptly, sinusitis can become chronic, with frequent exacerbations. It can also cause:
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