Treatment of sinusitis includes.
1. Acute purulent paranasal sinusitis
(1) Antibiotics or sulfonamides Adequate amount to control the infection and prevent its transformation into chronicity and complications. Those who clearly identify the causative organism should choose sensitive antibiotics, and those who fail to identify the causative organism can choose broad-spectrum antibiotics. Those with definite anaerobic bacterial infection should apply tinidazole or metronidazole at the same time.
(2) Local treatment Decongestant 1% ephedrine saline nasal drops.
(3) Sedative and analgesic drugs For severe headache.
(4) Nasal irrigation Use syringe or special nasal irrigator.
2. Chronic purulent paranasal sinusitis
(1) local treatment is the main, can use vasoconstrictor nasal drops, commonly used 1% ephedrine saline, nasal drops, etc.. Dexamethasone, betamethasone, etc. can be added to the nasal drops. It should be noted that nasal drops should not be used for a long time to avoid the occurrence of drug rhinitis.
(2) Maxillary sinus puncture irrigation.
(3) Nasal surgery.
(4) Sinus surgery.
What are the dangers of sinusitis
The sinuses are an organ in the human head. When a child has an acute upper whistle infection, the mucous membrane of the nasal cavity becomes congested, swollen, and the secretions increase. It is worth noting that pediatric sinus infections are prone to osteomyelitis because of the rich vascularity of the sinuses and nearby tissues, which are in close contact with each other.
In addition to nasal congestion and pus nasal discharge, acute sinusitis can be accompanied by fever and cough, depression and irritability, as well as otitis media, epistaxis and joint pain, headache or pain in one cheek.
When chronic sinusitis develops, there is occlusive nasal congestion and open-mouth whistling, and mucus nasal discharge is “inexhaustible”. It can be accompanied by systemic diseases such as adenoid lesions, chronic otitis media, anemia, rheumatism, arthralgia, colds, asthma, gastrointestinal or kidney diseases. Chronic nasal congestion and open-mouth whistling can affect the development of the face and chest, and chronic maxillary sinusitis can also cause malformed dental development.
What are the symptoms of sinusitis
1. Nasal congestion
It varies in severity, mostly due to congestion and swelling of the nasal mucosa and increased secretions, and nasal congestion can often lead to temporary olfactory impairment.
2. Pus-rich nasal discharge
The nasal discharge is mostly purulent or mucopurulent, and when blown, the pus may contain a little blood. Pus is foul-smelling in anaerobic bacteria or E. coli infection. Pus may flow back to the pharynx and larynx, stimulating the local mucous membrane causing itching, nausea, coughing and coughing sputum.
3. Headache
Chronic purulent paranasal sinusitis is usually characterized by significant localized pain or headache.
4. Other
Due to the flow of pus into the pharynx and long-term inhalation by mouth, it is often accompanied by chronic pharyngitis symptoms, such as sputum, foreign body sensation or pain in the throat. If it affects the eustachian tube, there may also be tinnitus, deafness and other symptoms.