Chronic sinusitis: treatments

Treatment of chronic sinusitis depends primarily on its cause:

In the first place, if an allergen is identified: it will be necessary as much as possible to avoid this allergen.

In case of maxillary, frontal, or ethmoid sinusitis (unilateral anterior sinusitis):

  • If the cause is dental, treat the diseased tooth.
  • If it is an infection caused by a fungus that has lodged on a dental amalgam, remove the amalgam (without its support, the fungus can not survive).
  • If an opening of the sinus (the meatus) is blocked, it is opened under endoscopy (small intervention).

In case of unilateral posterior sinusitis: a surgical intervention will allow the drainage and the evacuation of the pus.

1. Medical treatment

  • Nose washes. This is done with saline (such as salt water). You can also prepare your own mixture: a liter of warm water + 9 g of sea salt. The nose is washed with a syringe or pipette. Be careful not to get hurt with the pipette.
  • Treatment with cortisone (corticosteroid). Local corticosteroids are used most often. Especially in cases of allergy. When edema inside the sinus is important, high dose cortisone can be used for a short duration (4 to 10 days).
  • Oral antihistamines.
  • Antibiotics. An antibiogram (study of antibiotics active on the germ in question) is sometimes necessary, to choose the right antibiotic.
  • Antifungal therapy may also be prescribed if a fungus is involved.

Note that all these drugs are now available in the form of generics. Major advantage: they are cheaper than original origin treatments.

2. Surgical intervention

Surgery is only considered after the failure of drug treatments.

The operations are, in most cases, endoscopically (the natural ways).

The surgery is indicated in the case of chronic sinusitis because of polyps, tumors, malformation, deviation of the nasal septum.

These procedures require short hospitalization (24 to 72 hours) in most cases. Lashes are sometimes laid to prevent bleeding.

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