How to treat paranasal sinusitis

Paranasal sinusitis, or sinusitis, is an inflammatory disease of the mucous membrane of the sinuses that can be acute or chronic. Sinusitis treatment mainly includes general treatment, drug treatment and surgical treatment. 1. General treatment: nasal irrigation treatment, can clean up nasal secretions, is conducive to improving ventilation. Local hot compresses can improve the symptoms of nasal congestion. 2. Medication: Acute bacterial sinusitis is recommended to apply amoxicillin clavulanate potassium and second-generation cephalosporin antibiotics, such as cefuroxime, etc., the use of 7-14 days; local glucocorticosteroid nasal spray, such as budesonide nasal spray, etc., the use of time up to 12 weeks; acute viral sinusitis, can be applied to non-steroidal anti-inflammatory drugs, such as ibuprofen, etc.; the application of nasal decongestant, such as 0.5-1% ephedrine solution spotting the nose, generally Not more than 7 days. Chronic sinusitis: local glucocorticoid nasal spray, such as budesonide nasal spray; antibiotics generally applied macrolides, such as clarithromycin or roxithromycin, etc., for more than 3 months; mucus drainage agents, such as eucalyptus pinocin enteric soft capsule; nasal decongestant, such as 0.5-1% ephedrine solution nasal spotting, generally not more than 7 days. Drugs must be applied under the guidance of a doctor. 3. Surgical treatment: chronic sinusitis sinus with obvious structural abnormalities; polyps affecting the nasal sinus complex or sinus drainage; more than 12 weeks of standardized drug therapy, the improvement of symptoms is still unsatisfactory; the occurrence of intracranial and orbital complications. Surgical treatment is mainly endoscopic open drainage of the sinuses to correct anatomical abnormalities of the nasal cavity. Sinusitis is recommended for hospitalization and standardized treatment.