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Chronic sinusitis – When the signs and symptoms last for more than 12 weeks. [1] Acute exacerbation of chronic sinusitis – When the signs and symptoms of chronic sinusitis exacerbate, but return to baseline after treatment. Roughly 90% of adults have had sinusitis at some point in their lives. [64]
The sphenoid sinuses cannot be palpated on physical examination. [1] However, patients with isolated sphenoid sinusitis may complain of occipital or vertex headache, retro-orbital pain, otalgia, drowsiness, or meningitis-like symptoms. [7] A potential complication of sphenoidal sinusitis is cavernous sinus thrombosis. [7]
Functional endoscopic sinus surgery (FESS) is a procedure that is used to treat sinusitis and other conditions that affect the sinuses.Sinusitis is an inflammation of the sinuses that can cause symptoms such as congestion, headaches, and difficulty breathing through the nose.
Balloon sinuplasty may not be appropriate for all chronic and recurrent sinusitis patients. [17] Clinical studies have typically excluded patients with: [18] Eosinophilic disease; Severe polyposis or fungal sinusitis; Severe septal deviation; Cystic fibrosis; Aspirin-exacerbated respiratory disease; Facial trauma
Treatment is typically with steroids, often in the form of a nasal spray. [1] If this is not effective, surgery may be considered. [1] The condition often recurs following surgery; thus, continued use of a steroid nasal spray is often recommended. [1] Antihistamines may help with symptoms but do not change the underlying disease. [1]
Sinusitis can be acute, chronic or recurrent. Acute: Any sinus infection which lasts for a maximum of three weeks can be referred to as acute sinusitis; with the affected individual displaying symptoms such as congestion, post nasal drip, halitosis, a runny nose as well as sinus pressure and pain in the affected areas.