Inflammation of the sinuses or Sinusitis

    Inflammation of the sinuses (spaces inside your nose and skull) for more than 12 weeks is known as chronic rhinosinusitis despite adequate medication. Symptoms that allow us to diagnose CRS are:

  •  Nasal obstruction: One side or both
  •  Nasal discharge: comes out of the nose anteriolrly or drips at the back of the throat
  •   Headaches and facial pain
  •   Decrease or loss of sense of smell
  • Common causes of chronic sinusitis include:


  •  Allergies: they can cause inflammation within the nasal cavity and narrow or eventually block the openings of the sinuses.
  •  Anatomical abnormalities in the nose such as a deviated nasal bone obstructing the drainage of the sinuses.
  •   Systemic conditions such as cystic fibrosis, HIV and many granulomatous diseases.
  • Treatment of chronic rhinosinusitis is:

    Medical management:

  •  Antibiotics
  •  Steroids: Locally in the form of sprays, or orally specifically in patients who have nasal polyps.
  •   Nasal decongestants
  •   Saline irrigation
  •   Anti histaminics to control allergies and reduce inflammation in the nasal cavity, that may obstruct sinus openings.
  • Surgical management:

  •  Endoscopic sinus surgery: surgery is done endoscopically to reestablish ventilation and drainage of the sinuses. The ostia are also widened to prevent recurrence and collection within the sinuses. Polyps within the nasal cavity are removed.
  •  Correction of anatomical abnormalities such as deviated nasal septum that is hampering the drainage of the sinuses.