Chronic sinusitis is a disease with nasal congestion, runny nose, dizziness, headache, and loss of smell as the main manifestations. The disease has a long course, which can last from several years to several decades, with recurrent episodes that are difficult to cure. The majority of chronic sinusitis is a variety of bacterial infections in the sinuses, the causative organisms are common in H. influenzae and Streptococcus.
Nasal polyps are chronic inflammatory diseases of the mucous membrane of the nose and sinuses. It is characterized clinically by the formation of polyps in the nasal cavity of extremely edematous nasal mucosa, with metaplasia and chronic inflammation as the main etiology. Clinical symptoms may include progressive nasal congestion, sneezing, increased nasal discharge and olfactory disturbance. When unilateral polyps grow too large, the external nose may become deformed and the nasal bridge becomes wide and dilated to form a “frog nose”. Long-term open-mouth breathing caused by nasal congestion can be secondary to chronic pharyngitis.
The factors that affect the efficacy of chronic sinusitis should be accurately and comprehensively evaluated by considering the clinical stage of sinusitis, the combined systemic diseases, the procedure, the perioperative medication, the postoperative endoscopic observation of sinusitis, and the change of symptoms and signs. The success of nasal endoscopic surgery lies in the formation of good ventilation and drainage of the sinuses. Therefore, it is important to follow up regularly after the surgery to clean the surgical cavity and remove any new granules or vesicles to ensure the surgical results, which should last for six months. At the same time, it is necessary to adhere to local medication, and the use of hormonal drugs can reduce the local inflammatory response, thus reducing the recurrence rate.
Comparison of nasal endoscopic surgery with traditional surgery The biggest disadvantage of traditional sinus surgery is that the lesion cannot be removed completely due to the lack of visual field, as well as the removal of the entire contents of the sinus including the mucoperiosteum causing postoperative fibro-osseous hyperplasia, narrowing of the sinus cavity and easy recurrence of lesions. Functional nasal endoscopic surgery for sinusitis and nasal polyps currently has incomparable advantages, it can clearly observe the deep nasal cavity structure with the help of good illumination of the endoscope, and by playing the advantage that the cutter can completely remove the tiny lesions, the traditional destructive surgery of radical or total scraping of the mucous membrane in the sinuses is transformed into a surgery that preserves as much as possible the nasal cavity and sinuses on the basis of complete removal of lesions It is a functional surgery that preserves the normal mucosa and structures of the nasal cavity and sinuses, creates good ventilation and drainage, and restores the morphology and physiological functions of the nasal cavity and sinus mucosa. Depending on the severity of the lesion, we can rely on the recovery of the physiological function of the nasal cavity and sinuses to cure sinusitis and nasal polyps.
Chronic sinusitis hazards and the best treatment of chronic sinusitis whose etiology is mostly due to acute rhinitis, sinusitis failure to timely and reasonable treatment or recurrent acute inflammation. Other causes are basically similar to acute sinusitis. The general public think that chronic sinusitis is only nasal congestion, runny nose, dizziness, headache, rely on oral antibiotics, the use of nasal drops can, in fact, the inflammation of chronic sinusitis, can be extended to adjacent tissues or organs, causing the following complications: can occur behind the ball optic neuritis, resulting in blindness; prone to osteomyelitis; can occur orbital periostitis or subperiosteal abscess, or even orbital cellulitis; intracranial complications, although rare They can also cause pharyngitis, tonsillitis, bronchitis, bronchiectasis, and other complications in the joints, heart, and kidneys. At present, the best choice for the treatment of chronic sinusitis is to take nasal endoscopic surgery, which has the advantages of less trauma, less pain during and after surgery, complete surgery and less recurrence after surgery, and can make the surgery to areas not easily reached before, which is the most ideal method for the treatment of sinusitis and nasal polyps, with a cure rate of more than 85%.