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Normal |
Abnormal |
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Chronic sinusitis has identical symptoms as Acute Sinusitis,
other than the symptoms persist for more than 3 weeks, and
do not improve with shorter courses of antibiotics. Chronic
sinusitis usually represents a more severe infection,
resistant infection, or an anatomical obstruction (that
prevents the infection from
clearing).
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- CAT scan is often performed to rule
out an anatomical obstruction
- An MRI may be performed if there is
concern of a tumor
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- Antibiotics are administered for 21-28 days such as Augmentin, Biaxin, or
Levaquin.
- Prednisone, a corticosteroid, may
be considered in an attempt to decrease inflammation and
allow better penetration in to the sinuses.
- Oral decongestants such as
Pseudophed, and nasal sprays such as Afrin for the first 3
days may be helpful. After 3 days, a "rebound" may occur,
and they decongestants may no longer be effective.
- Take a warm shower twice a day,
and blow out the excessive mucous.
- Saline nasal sprays may be used
multiple times during the day and loose nasal
secretions.
- If an obstruction is present, or if the above measures
fail, an Ear, Nose & Throat specialist is usually
consulted. Surgical drainage of the sinus and correction of
the anatomic drainage problems may be considered. Surgery
can offer a permanent cure to those with recurrent chronic
sinus
infections. |
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