How to distinguish and treat acute sinusitis from chronic sinusitis?

  Inflammation of one or more sinuses is called sinusitis, which involves the maxillary, septal, frontal, and pterygoid sinuses, and it is a disease that has a high incidence in the population and affects the quality of life of patients. Sinusitis can be divided into 2 types: acute and chronic sinusitis. Acute sinusitis is mostly caused by upper respiratory tract infections and can be complicated by both bacterial and viral infections. Chronic sinusitis is more common than the acute one and often involves multiple sinuses at the same time. Sinusitis can be divided into 2 types: acute and chronic sinusitis. Acute sinusitis has a duration of <12 weeks and is characterized by persistent and severe symptoms of upper respiratory tract infection, including nasal congestion, pus, and headache. Chronic sinusitis has a duration of >12 weeks.  Sinusitis treatment 1, systemic treatment: the use of an adequate amount of antibiotics to control the infection, because most of the coccus infection, penicillin, cephalosporins as the drug of choice, drug therapy emphasizes the selection of sensitive antibiotics, the full amount, the full course of use. If the headache or local pain is severe, appropriate sedatives or analgesics can be used. The general treatment is the same as that for acute rhinitis. Chinese herbal medicine treatment is based on dispersing wind and heat, aromatizing the orifices, and supplemented by detoxification and removal of stasis.  2, improve sinus drainage: commonly used drugs containing 1% ephedrine nasal drops to contract the nasal cavity and improve drainage. Acute sinusitis can also reduce headache by changing the body position and thus improving the ventilation and drainage of the sinuses.  3, maxillary sinus puncture irrigation: acute maxillary sinusitis should be performed after the systemic symptoms have subsided and the local acute inflammation has been basically controlled. After irrigation, antibacterial solution can be injected 1-2 times a week.  4.Sinus replacement therapy: used in children with multiple groups of sinusitis.  5.If it is odontogenic maxillary sinusitis should be treated simultaneously with dental disease.  6.Mucus pro-discharge agent can be used to improve the nature of secretions and easy to discharge.  7.Nasal local hormone or systemic application of hormone can be applied to improve the local inflammatory state and enhance drainage.  8.Surgery: Acute sinusitis can be operated by nasal endoscopy when the drug control is unsatisfactory or complications arise, through endoscopic guidance to reach the lesion directly, open the sinus opening, remove the lesion, improve local drainage, and then restore the normal physiological function of the sinus.