Chronic Sinusitis: Diagnosis and Treatment

Diagnosis – To diagnose chronic sinusitis, a healthcare provider may:

  • Physical Exam: This may involve checking for tenderness in the face and nose and examining the inside of the nose.
  • Nasal Endoscopy: A thin, flexible tube with a light is inserted into the nose to visualize the sinuses.
  • Imaging Tests: CT or MRI scans can provide detailed images of the sinuses and nasal area to identify potential causes.
  • Nasal and Sinus Samples: In some cases, tissue samples may be taken from the nose or sinuses for laboratory analysis to determine the underlying cause, especially if treatment is ineffective or symptoms worsen.
  • Allergy Testing: If allergies are suspected as a contributing factor, allergy skin tests may be performed to identify specific allergens.
Services & Procedures

Treatment

Treatment for chronic sinusitis may involve one or more of the following approaches:

Medications:

  • Nasal Corticosteroids: These nasal sprays reduce inflammation and swelling. Examples include fluticasone, budesonide, mometasone, and beclomethasone.
  • Saline Nasal Rinses: Using a neti pot or saline nasal spray can help clear mucus and alleviate congestion.
  • Oral Corticosteroids: In severe cases, oral corticosteroids may be prescribed for a short duration to reduce inflammation.
  • Allergy Medications: For allergy-related sinusitis, antihistamines and decongestants may be helpful.
  • Immunotherapy: Allergy shots may be beneficial for individuals with allergy-induced sinusitis.
  • Biologic Therapies: For specific types of chronic sinusitis, such as that associated with nasal polyps, biologic therapies like dupilumab, omalizumab, or mepolizumab may be considered.

Surgery:

  • Endoscopic Sinus Surgery: In cases of severe or persistent sinusitis that don't respond to medical treatment, endoscopic sinus surgery may be an option. This minimally invasive procedure involves using a small camera to remove tissue blocking the sinuses.
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It’s important to consult with a healthcare provider for an accurate diagnosis and appropriate treatment plan.

This is for informational purposes only. For medical advice or diagnosis, consult a professional.