Rhinosinusitis

Rhinosinusitis

Do you have a headache or a stuffy nose or a chronic discharge from the back of your throat?

Rhinosinusitis means inflammation of the nasal mucosa and sinuses. The diagnosis of acute sinusitis is usually made when a common cold lasts for more than a week. Symptoms in acute sinusitis last less than a month.

What are the symptoms of acute sinusitis?

The main symptoms of acute sinusitis are purulent discharge from the nose, nasal congestion, purulent discharge from the back of the throat, pain and pressure in the face and sometimes fever, cough, headache, bad breath and even toothache.

How does chronic sinusitis develop?

Basically, any lesion that interferes with the natural discharge of sinus secretions (at the site of the sinus passage to the nose) leads to the accumulation of secretions and irreversible changes and thickening of the sinus mucosa, and mucous cilia whose job is to clean the respiratory mucosa. They fail and a vicious cycle develops and symptoms of chronic sinusitis appear.

How is chronic sinusitis treated?

It is best to eliminate predisposing factors first: quit smoking, control allergy symptoms, and treat gastroesophageal reflux. Appropriate antibiotic treatment should be prescribed for at least three weeks.

If there is no response to the above treatments, functional endoscopic sinus surgery (FESS) is performed. Today, primary surgery for chronic rhinosinusitis is performed almost exclusively endoscopically.

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Functional sinus endoscopic surgery (FESS):

The high prevalence of chronic sinusitis and other diseases of the nose and sinuses, increasing awareness of the physiopathology of sinusitis, as well as recent advances in FESS endoscopic devices have become a common surgical procedure.

In this operation, only the patient’s tissue and other anatomical areas that have problems are removed very precisely and delicately, and the ventilation of the sinuses is opened.

Diagnostic endoscopy of the nose and sinuses is usually performed under local anesthesia. Sometimes, due to the patient’s special condition or his young age, this is done under anesthesia and in the operating room.

In any case, in diagnostic endoscopy, the color and shape of the mucosa covering the nose, and its secretions, the condition of the sinus orifice, the presence and shape of the mass inside the nose or the sinus or back of the nose are considered.

Diagnostic endoscopic applications

CT scans (other than history and examination) are used to diagnose sinusitis. But sometimes we need diagnostic endoscopy of the nose and sinuses to diagnose chronic sinusitis or examine its complications.

Of course, nasal endoscopy is not only used in sinusitis, but also to diagnose a variety of chronic diseases, and benign and malignant masses of the nose or sinuses, as well as sampling.


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