Chronic Sinus Disease - Know About Chronic Sinus Disease

Chronic sinus disease is the disease of the sinus where the condition lasts for more than eight weeks. When symptoms persist beyond 30 days, the condition is defined as chronic sinusitis or chronic sinus disease.

Causes

Structural obstruction, deviated septum, allergies, fungal infections and polyposis are some of its causes. Children have frequent upper respiratory tract infections known as URI. It may occur six to eight times in a year and it is difficult to distinguish recurrent URI from chronic sinus disease. When URI symptoms last for more than 10 days but less than 30 days, with high fever and nasal discharge, it is defined as acute sinusitis. Coughing and headache, nasal obstruction, fatigue, irritability and bad breath may be present.

Treatment of chronic sinus disease

Antibiotics are used in most cases of sinusitis. This is continued up to 4 weeks or even up to 6 weeks. In some resistant cases topical steroids may also be used to reduce mucosal edema. Decongestants have also been found helpful in adults with ostial and nasal patency. When prolonged medical management fails and when the chronic sinus disease recurs after stopping the therapy, a sweat test is done to rule out cystic fibrosis. Steroids are used in some cases to reduce the swelling in the area. Volume nasal rinses are also recommended to clean and remove the infected secretions that showed good results. Topical nasal steroid sprays are used in decreasing the inflammation and swelling in the nasal areas. Endoscopic Sinus Surgery (ESS) is found to be a safe and effective solution for chronic sinus disease in children. The children with immunodeficiency and cystic fibrosis were found to require the procedure to be done multiple times. After the surgery a full course of antibiotics is used till the crusting in the nasal cavity stops. A simple avulsion of the nasal portion of the polyp is done endoscopically.

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