Sinusitis

Question 1

What is sinusitis?

Answer 1

Inflammation of paranasal sinuses

Question 2

What causes sinusitis?

Answer 2

Usually a viral infection from another URTI.

Occasionally can be bacterial, fungal or infected tooth.

Question 3

What causes sinusitis to become chronic?

Answer 3

Allergy e.g. hayfever or asthma
Smoking
Weakend Immune System
Nasal Polyps

Question 4

How does sinusitis present?

Answer 4

• Dull face ache
• Headache
• Congestion
• Thick Nasal Dischage
  Worse when changing Orientation

Question 5

What investigations are there for sinusitis?

Answer 5

None acutely.
If it persists can do:
CT - XR - Nasal Endoscopy - MRI

Question 6

How do we treat sinusitis?

Answer 6

Normally self-limiting
If persistant:
Nasal Irrigation - Amoxicillin/Co-Amoxiclav - Surgical Intervention