Sinusitis - Inspecting the causes and treatment

A. J. Yonkers

Research output: Contribution to journalReview article

29 Scopus citations

Abstract

In summary, sinusitis is a common disease caused by viruses, bacteria and the accumulation of excessive secretions and inflammatory mediators that impair the function of the mucociliary transport. Combination treatment is usually necessary to treat the cause and relieve the symptoms of sinusitis. Therapy aims at eliminating causative bacteria with antibiotics, decongesting edematous membranes, and thinning mucus with use of a mucolytic-expectorant. Improving the rheology of mucus by thinning abnormally thickened secretions may improve mucociliary transport and enhance penetration of antibiotics. Acute sinusitis usually responds to treatment within 2 weeks. However, if treatment is unsuccessful or a severe complication occurs, intravenous antibiotics may be necessary along with antral puncture and lavage. In resistant cases, an appropriate surgical procedure may enhance the drainage.

Original languageEnglish (US)
Pages (from-to)258-262
Number of pages5
JournalEar, Nose and Throat Journal
Volume71
Issue number6
Publication statusPublished - Jan 1 1992

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ASJC Scopus subject areas

  • Otorhinolaryngology

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