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Alternative names Return to top
Chronic sinus infection; Chronic sinusitisDefinition Return to top
Chronic sinusitis is a prolonged or recurrent infection and/or inflammation of the sinuses of the head.Causes, incidence, and risk factors Return to top
The sinuses are openings in the bones around the nose. There are 4 pairs of sinuses connected to the nasal cavity by small openings. Normally, air passes in and out of the sinuses, and mucus and fluid drain from the sinuses into the nose.
Sinusitis occurs when there is infection, or inflammation due to allergies, in one or more of the sinuses. Acute sinusitis is often associated with upper respiratory infections, as inflammation of the nasal passages prevents drainage of fluid from the sinuses, which allows infection of the sinuses to occur.
A deviated nasal septum or other obstruction of the nose may also trap fluid in a sinus, causing chronic sinusitis. Dental infections such as tooth abscess may spread into the sinus and infect it directly.
Chronic sinusitis is much less common than acute sinusitis. When sinusitis recurs frequently, or lasts for a prolonged period of time, it is classified as chronic. While acute sinusitis is usually caused by infection with a single type of bacteria or virus, chronic sinusitis is usually caused either by allergies or by infection with a mixture of different types of bacteria.
Chronic sinusitis may have less severe symptoms than acute sinusitis but can cause damage and destruction to the tissues of the sinuses. It may flare up spontaneously or may follow respiratory infections such as colds.
Allergy to the aspergillus species of fungus appears to cause a particularly difficult to treat form of chronic sinusitis.
Symptoms Return to top
Symptoms may persist for 3 months or more.Signs and tests Return to top
Treatment Return to top
The goals of treatment are the cure of the infection and the relief of symptoms.
Antibiotics may be given if the infection is bacterial; treatment is usually prolonged (3-4 weeks). Oral decongestants are sometimes used. Over-the-counter analgesics may be used to control pain.
Topical steroids in the form of a nose spray may be helpful in chronic sinusitis related to allergy. Surgery to clean and drain the sinuses may be necessary. Repair of a deviated septum or nasal obstruction may prevent recurrence of chronic sinusitis.
Expectations (prognosis) Return to top
Chronic sinus infections are usually curable but may require extended treatment. They tend to recur, particularly if underlying conditions such as nasal obstructions are not corrected.Complications Return to top
Calling your health care provider Return to top
Call for an appointment with your health care provider if symptoms indicate chronic sinusitis.Prevention Return to top
Use of decongestants during upper respiratory infections might theoretically reduce the chances of developing sinusitis. However, decongestant nasal sprays should only be used for short periods of time to avoid the risk of worsening congestion ("rebound" or rhinitis medicamentosa). Update Date: 7/14/2004 Updated by: Daniel Levy, M.D., Ph.D., Infectious Diseases, Greater Baltimore Medical Center, Baltimore, MD. Review provided by VeriMed Healthcare Network.
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Page last updated: 28 October 2004 |