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Sinusitis

If you have the following symptoms, you may have sinusitis.

MAJOR SYMPTOMS of sinusitis are-

-nasal congestion/ obstruction

-discoloured (yellow/ green/brown) nasal discharge or postnasal drip

-facial pain/ fullness/ pressure

-alteration in the sense of smell

MINOR SYMPTOMS-

headache, fever, halitosis, fatigue, toothache, cough, earache, blocked ears

Acute sinusitis lasts less than 4 weeks.

If symptoms last for more than 3 months, this is referred to as chronic sinusitis

DIAGNOSIS
Sinusitis is diagnosed by taking a history, and by examining the nasal passages.

X-rays and CT scans are not necessary until medical treatment has failed, (and if surgery is indicated).

TREATMENT

1) Antibiotics- e.g. Augmentin, Orelox for 5-10 days initially

2) Steroids- Prednisone for 5 days

3) Analgesics (painkillers)- Myprodol, Paracetamol

ADJUVANT TREATMENTS

–decongestant nasal sprays, e.g. Iliadin- to be used for a maximum of 5-7 days

–nasal steroid sprays– e.g. Flixonase, Avamys

–steam inhalations– with or without menthol

–saline nasal irrigation (see post on saline douches)

–antihistamines e.g. Xyzal, Deselex

–mucolytic agents e.g. ACC 200

PLEASE NOTE-
Ultrasound and physiotherapy are of no known benefit in sinusitis

SURGERY-i.e. FESS or FUNCTIONAL ENDOSCOPIC SINUS SURGERY

Surgery is only indicated if symptoms persist in spite of maximal medical therapy.

Prior to undertaking FESS, a CT scan must be done to ascertain the extent of the sinusitis.

Please read the post on FESS for further information

YOUR CONSULTATION

If you think you suffer from sinusitis, and would like help, please book an appointment by calling 031 201 3118.

A detailed history of your problem will be taken. This will be followed by a complete examination of the ears, nose and throat, including nasal endoscopy
.
You will receive a clear explanation of your problem. The appropriate treatment will be prescribed according to best ENT specialist practice guidelines.

A follow-up visit will be scheduled to assess your progress.

If your symptoms persist, then further investigations will be requested, e.g. a CT scan of the sinuses.






















































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