What is sinusitis?
Sinusitis occurs when the tissue that lines the sinuses becomes swollen and inflamed. It can arise from an inflammatory reaction or a fungal, bacterial, or viral infection. There are different types of sinusitis. For example, acute sinusitis is a short-term infection that lasts for just a few days due to influenza or a cold.
However, chronic sinusitis is a long-lasting infection that lasts for several weeks or even longer. Chronic sinusitis may cause facial pain, a limited sense of smell and nasal congestion. Structural abnormalities in the nasal passages, allergies, and nasal polyps are possible causes of chronic sinusitis, which is why a detailed diagnostic assessment is required.
The sinuses are the air-filled regions in the skull. Usually, these air-filled spaces have no bacteria or other types of germs. In most cases, mucus drains easily, and the areas are sufficiently ventilated. However, when there’s an obstruction in the openings of the sinuses, the mucus accumulates, and bacteria can grow more rapidly.
The symptoms of chronic sinusitis may be less aggressive but more progressive over time.
Are there any tests involved?
Only a qualified healthcare practitioner, specifically an Ear, Nose, and Throat (ENT) specialist, can formally diagnose the condition. They have the expertise and tools to conduct a detailed diagnostic assessment, which may include transillumination to look inside the nose for the presence of nasal polyps and imaging studies, such as an MRI or CT scan, to examine the tissues and bones of the sinuses more thoroughly.
Treatment for Chronic Sinusitis
Individualised treatment plans are carefully developed depending on the cause of chronic sinusitis. Usually, a majority of sinus infections are resolved through appropriate self-care measures. However, it’s best to visit your doctor if you are unsure or concerned about your symptoms.
Treatment options include nasal steroid sprays, allergy medications if an allergy is a contributing factor, and surgery to remove nasal polyps and correct structural abnormalities in the nasal passages. Your ENT specialist will determine the most suitable treatment based on the causes, your medical history, and your overall health.
FAQ
Is sinusitis serious?
Sinusitis is not generally considered serious, but it can affect your overall quality of life. The cause determines its severity.
Do you need treatment for sinusitis?
Your doctor must assess the condition to determine the most suitable treatment for you.
Can chronic sinusitis go away without treatment?
Chronic sinusitis implies that your symptoms have been present for more than 3 months. Although chronic sinusitis can sometimes be managed with conservative measures – nasal irrigations, topical steroid sprays, oral antibiotics, and biologics- a large proportion of patients will require surgery to make the sinus lining more accessible to the topical medications.