Chronic sinusitis – Inflammation of the paranasal sinuses
Chronic sinusitis presents when the paranasal sinuses become easily inflamed due to the narrowing of anatomical structures, and ongoing symptoms such as headaches, fatigue, and viscous phlegm crop up.
The paranasal sinuses are cavities in the facial bones surrounding the nose, which are directly connected to the nasal cavities. Just as with the nose, these cavities are lined on the inside with mucous membranes that can become inflamed just like the nasal mucous membranes.
A simple sinusitis can appear as part of a common cold and disappear with the cold, generally after 1-2 weeks. In contrast, chronic sinusitis denotes an ongoing disease. A sinusitis is considered chronic when it lasts more than two to three months.
Causes of chronic sinusitis
The causes of chronic sinusitis are mostly anatomical particularities in the area of the paranasal sinuses that produce a narrowing of the entries. A deviated septum, a large nasal concha, or benign mucosal overgrowths, also called polyps, can be responsible for frequently recurring problems with chronic sinusitis.
Symptoms of chronic sinusitis
Patients suffer from purulent nasal secretions with a blocked nose and coughing, sometimes from throbbing headaches and facial pain, and generally from a very compromised sense of well-being.
It is possible that the symptoms may sometimes seem less severe than those of an acute sinusitis. Nevertheless, they remain stubbornly present and threaten to break out again, even with a slight infection.
Patients with chronic sinusitis often also develop postnasal drip syndrome. There is also a risk of developing bronchial hyperreactivity.
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Treatment for chronic sinusitis
The treatment for chronic sinusitis is quite complex due to the different causes and characteristics of the illness. The goal of therapy is to first reduce symptoms. Aside from antibiotics, nasal sprays containing cortisone are also used.
In the case of frequently recurring problems, chronic sinusitis is also treated via physical training with pep devices such as the RC-Cornet® N, or its further development the RC-Cornet® PLUS NASAL.
In some cases, sinusitis surgery may also be useful.
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