Chronic sinusitis is one of the most common health complaints, affecting millions of people worldwide. It is characterized by persistent nasal inflammation, congestion, facial pressure-pain, and a reduced sense of smell lasting for more than 12 weeks.
Understanding Chronic Sinusitis
Unlike acute sinusitis, which is typically a temporary viral infection that resolves in a couple of weeks, chronic sinusitis is often inflammatory. It can be caused or aggravated by nasal polyps, a deviated nasal septum, environmental allergies, or persistent microbial infections.
Effective Management and Treatments
Treatment usually starts with conservative medical management customized to your specific triggers:
- Nasal saline irrigation: Routinely flushing the nasal passages to clear mucus and allergens.
- Nasal corticosteroid sprays: Reducing tissue inflammation directly in the nasal lining.
- Oral medications: Addressing underlying allergies, or targeted courses of antibiotics for bacterial flareups.
When is Surgery Recommended?
If meticulous medical treatments fail to provide relief, Functional Endoscopic Sinus Surgery (FESS) is a highly effective, minimally invasive option. Performed entirely through the nostrils under high-definition visualization, it opens natural sinus drainage pathways and removes obstructing polyps, allowing the sinuses to heal and ventilate properly.
Published by Dr. Ali Shayyan ENT Specialty Clinic, Lahore