What are the symptoms of chronic sinusitis? How can we treat it thoroughly? Thank you for your questions.

1. More purulent nasal mucus: Most nasal mucus is purulent or viscous, yellow or yellowish green, with uncertain amount, and mostly flows to the throat. Odor on one side is more common in odontogenic maxillary sinusitis.

2. Nasal congestion: varying in severity, mostly congestion and swelling of nasal mucosa and increased secretion. Nasal congestion usually leads to temporary olfactory dysfunction.

3. Headache: Chronic suppurative sinusitis generally has obvious local pain or headache. If you have a headache, you often feel dull pain or heavy head, which is heavy during the day and light at night. In the former group, sinusitis usually manifests as swelling pain or stuffy pain in the forehead and nasal root, while in the latter group, the headache is in the top of the head, temporal part or occipital part. When suffering from odontogenic maxillary sinusitis, it is often accompanied by ipsilateral toothache.

4. Others: Due to purulent secretions entering the pharynx, long-term oral breathing is often accompanied by symptoms of chronic pharyngitis, such as excessive phlegm, foreign body sensation or dry throat pain. If the eustachian tube is affected, symptoms such as tinnitus and deafness may also occur.

How to treat chronic sinusitis;

1, nasal drops: vasoconstrictors can contract the swollen mucosa of the nasal cavity to facilitate drainage. Commonly used 1% ephedrine solution or furacilin ephedrine solution, chloramphenicol ephedrine solution nasal drops.

2. Puncture and irrigation of maxillary sinus: it is suitable for chronic suppurative maxillary sinusitis, twice a week 1-2 times, and repeated puncture and irrigation is ineffective; Or rush out of the stench, a large number of water-soluble pus, you can consider surgical treatment.

3. Sinus replacement. Suitable for chronic ethmoiditis, frontal sinusitis, sphenoid sinusitis, total sinusitis and children.

4. Physiotherapy: Generally, ultrashort wave diathermy is used as adjuvant therapy.

5, traditional Chinese medicine: aromatic resuscitation, heat and detoxification, dampness and pus discharge as the treatment, commonly used Xanthium powder to taste.

6, surgical treatment

1) surgical removal of etiology: correct the diseases that hinder sinus drainage and treat adjacent lesions. If there is high deviation of nasal septum, nasal septum correction is feasible; For hypertrophic or polypoid middle turbinate, partial middle turbinectomy is feasible, and if there is nasal polyp, nasal polypectomy is performed.

2) Maxillary sinus surgery generally adopts radical maxillary sinus surgery and intranasal maxillary sinus fenestration.

(1) Maxillary sinus ostomy: It is suitable for patients with slight sinus lesions and not suitable for radical maxillary sinus surgery.

(2) Radical maxillary sinus surgery (Caldwell-luc operation): it is suitable for those who are ineffective after conservative treatment and repeated puncture and irrigation, and need to explore foreign bodies, cysts, other benign tumors and suspected malignant tumors in the maxillary sinus.