Chronic sinusitis occurs when the spaces inside your nose and head (sinuses) are swollen and inflamed for three months or longer, despite treatment.
This common condition interferes with the way mucus normally drains, and makes your nose stuffy. Breathing through your nose may be difficult, and the area around your eyes might feel swollen or tender.
Chronic sinusitis can be brought on by an infection, by growths in the sinuses (nasal polyps) or swelling of the lining of your sinuses. Also called chronic rhinosinusitis, the condition can affect both adults and children.
Common signs and symptoms of chronic sinusitis include:
- Nasal inflammation
- Thick, discolored discharge from the nose
- Drainage down the back of the throat (postnasal drainage)
- Nasal obstruction or congestion, causing difficulty breathing through your nose
- Pain, tenderness and swelling around your eyes, cheeks, nose or forehead
- Reduced sense of smell and taste
- Ear pain
- Aching in your upper jaw and teeth
- Cough or throat clearing
- Sore throat
- Bad breath
Chronic sinusitis and acute sinusitis have similar signs and symptoms, but acute sinusitis is a temporary infection of the sinuses often associated with a cold. The signs and symptoms of chronic sinusitis last at least 12 weeks, but you may have several episodes of acute sinusitis before developing chronic sinusitis. Fever isn’t a common sign of chronic sinusitis, but you might have one with acute sinusitis.
You’re at increased risk of getting chronic sinusitis if you have:
- A deviated septum
- Nasal polyps
- Aspirin Sensitivity
- A dental infection
- An immune system disorder such as HIV/AIDS or cystic fibrosis
- Hay fever or another allergic condition
- Regular exposure to pollutants such as cigarette smoke
Allergic Fungal Rhinosinusitis
It is one of the various forms of sinusitis, which is a bit tricky to treat. Here we are discussing patient operated in Feb,2020. Patient ‘X’ , 35-year-old lady had complaint of HEADACHE and THROBBING SENSATION IN EYE. CT revealed huge ‘fungal mucin’ mass in the sphenoid sinus ( it is located just under the brain) and other sinuses as well.
At mahavir ENT, surgery was done by dr vineet jain, completely under endoscopic guidance with Xomed microdebrider. Hypotensive anesthesia was provided by Dr Aarti Gupta for bloodless field, very crucial for this kind of surgery.
The Patient was discharged the next day, and complete recovery took 15 days. Now the patient can breathe easily with no headache.
IMPORTANT POINTS TO REMEMBER:
- *Sinusitis is completely curable now.
- *Sinusitis can be accurately diagnised with CT scan of nose.
- *Not every sinusitis needs surgery.
- *technology plays very important role for good results. Endoscopes and microdebrider are very much necessary for good surgical results.