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Sinusitis: symptoms and treatment

Written by: Dr. Humbert Massegur Solench
Edited by: Top Doctors®

The sinusitis is the inflammation of the sinuses which can present different symptoms as nasal congestion, facial pressure, loss of smell, and even in some cases fever. Treatment must be appropriate to the type of sinusitis that suffer, leaving surgery as a last option.

Inflammation of the nasal mucosa, by a cold or an allergy, may lead, if it persists for more than a week, in a obstruction of ventilation holes sinus (which are around the nose) and this causes a lack of oxygen in them and changes that favor colonization by viruses and bacteria, therefore, produces an inflammation and / or infection of these sinuses is known as sinusitis.


The most accepted definition of rhinosinusitis is inflammation of the nose and sinuses characterized by two or more symptoms one of which should be obstruction or nasal congestion or purulent mucus which may be accompanied by facial pain or pressure, loss of smell, cough and / or fever.

As can be seen, the popular belief that headache is unequivocal symptom of sinusitis is not correct so in these cases is always priority rule out other more common origins of pain.

Moreover must differentiate acute and chronic sinusitis: acute appears quickly and has less than 12 weeks and evolution in chronic symptoms persist for more than 12 weeks. In chronic sinusitis also include the Nasal polyposis, whose main symptom is persistent nasal obstruction despite multiple treatments.


In the treatment of acute sinusitis is a priority to get beat inflammation and obstruction of the sinus cavities plus the appropriate antibiotic treatment. Otherwise, if we do not solve the problem will persist and the blockage is reagudizara. Therefore, the best treatment is the systemic corticosteroids or topical ( depending on the severity of symptoms ), antibiotics and preparations promote drainage and washing mucus. Surgical treatment should be reserved for complications.

The treatment of chronic sinusitis is more complicated and longer life. Even antibiotic treatments are proposed, taken once a week for three months, besides topics, washed corticosteroids and, finally, endoscopic surgery to remove the infected areas or polyps that can cause obstruction.

*Translated with Google translator. We apologize for any imperfection

By Dr. Humbert Massegur Solench

Eminence of the specialty of Otorhinolaryngology, Dr. Massegur is a pioneer in Spain in nasosinusal and skull-based endoscopic surgery. Doctorate with Cum Laude Qualification from the Autonomous University of Barcelona, ​​as an expert in his field he has written several articles and has directed several courses. He has been Head of the ENT Service at the Sta. Caterina Hospital in Girona and currently combines private practice with public practice at the Hospital de Sant Pau in Barcelona. He has also been Secretary of the Catalan Society of ENT and Secretary of the External Relations Commission of the Spanish ENT Society (Period 1997-2005). He teaches at the Medical University of Girona and teaches Internal Doctors and Residents of the ENT Service of the Hospital of Sta. Creu and St Pau.

*Translated with Google translator. We apologize for any imperfection

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