Chronic sinusitis also known as chronic rhinosinusitis is a condition interferes with drainage and causes mucus to build up. Chronic sinusitis is a common condition in which the cavities around nasal passages (sinuses) become inflamed and swollen for at least eight weeks, despite treatment attempts. Chronic sinusitis may be caused by an infection, but it can also be caused by growths in the sinuses (nasal polyps) or by a deviated nasal septum. Chronic sinusitis most commonly affects young and middle-aged adults, but it also can affect children.
The most common symptoms usually include Drainage of a thick, yellow or greenish discharge from the nose or down the back of the throat, Nasal obstruction or congestion, causing difficulty breathing through your nose, Pain, tenderness and swelling around your eyes, cheeks, nose or forehead, reduced sense of smell and taste. Some of the other signs and symptoms include Ear pain, aching in your upper jaw and teeth, cough, which may be worse at night, sore throat, bad breath, fatigue or irritability and nausea.
The major goal of treating chronic sinusitis is to reduce sinus inflammation, keep the nasal passages draining, eliminate the underlying cause and reduce the number of sinusitis flare-ups. The usual medications used in the treatment of chronic sinusitis include saline nasal irrigation, Nasal corticosteroids, Oral or injected corticosteroids, Decongestants, Over-the-counter pain relievers and Aspirin desensitization treatment.
This is a very common condition affecting about 15% of the population in Western countries. A UK general practice can expect to see about 250 cases of acute sinusitis per 10,000 person-years.
The current ongoing research in the treatment of chronic sinusitis include Study for the management of pediatric chronic rhinosinusitis with or without balloon sinuplasty, Oral versus topical antibiotics for chronic rhinosinusitis exacerbations, Evaluation of Dupilumab in patients with nasal polyposis and chronic symptoms of sinusitis, Evaluation of Dupilumab in patients with nasal polyposis and chronic symptoms of sinusitis, Evaluation of Dupilumab in patients with nasal polyposis and chronic symptoms of sinusitis and many more ongoing clinical trials for discovering new treatment methods for chronic sinusitis.