sinusitis is one of the most common reasons for a visit to the
Ear, Nose and Throat Doctor (ENT). Bacteria infection of the sinuses
usually occurs following a viral upper respiratory infection.
Nasal congestion with colored nasal drainage that persists longer
than 7 to 10 days with associated fever, headache and facial pain
are hallmarks of acute sinusitis. Treatment with decongestants
and antibiotics will often shorten the course of the infection.
Most individuals will experience 2 or 3 episodes of acute sinusitis
nasal drainage, headaches and facial pain will persist for longer
periods of time (weeks) despite treatment with antibiotics, decongestants
and nasal salt water irrigations. This is suggestive of chronic
sinusitis and should be evaluated by an ENT. Usually chronic sinusitis
can be treated adequately with medications. If medical treatment
fails, sinus surgery
may be indicated. The goal of sinus surgery is to remove the chronically
infected tissue and enlarge the normal sinus drainage pathways.
Recent advances in the technique of sinus surgery have nearly
eliminated the need for incisions outside the nose. The surgery
is now done entirely thru the nose with the use of small telescopes,
known as endoscopes. The high resolution of the telescopes permits
precise removal of infected tissue, while preserving normal sinus
lining. This leads to shorter recovery time with less post-operative
pain and scarring.
imaging has now evolved to allow for “virtual sinus surgery”
which provides instant computer tracking during sinus surgery,
improving anatomic localization and disease removal. Both Dr.
Lee and Dr. Jordan have experience with this latest technique
of sinus surgery.
treatment of chronic sinusitis requires a multifaceted approach
including antibiotics, allergy and anti inflammatory medications
and often surgery.