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Medical Treatment
Acute sinusitis episodes are typically responsive to medical treatment with antibiotics, mucus thinners, decongestants and saline rinses for 10-14 days. Sometimes, however, this therapy is not enough to re-open the sinuses and stop the infection.
After weeks of persistent symptoms, chronic sinusitis may be diagnosed. Chronic sinusitis occurs because of damage to the sinus tissue lining, scarring of the sinus openings, persistent inflammation, or resistant and unusual organisms. At this stage, a prolonged course of medical therapy is begun, typically utilizing antibiotics, decongestants, mucus thinners, nasal steroids and sinus rinses for three weeks.
Afterwards, a CT scan of the sinuses is obtained to identify the extent of any sinus disease that medical therapy left behind, as well as any underlying structural abnormality predisposing the patient to developing sinusitis in the future. It is at this point where a decision for sinus surgery is made.
What is Sinusitis? l Cold, Allergy, or Sinusitis? l Medical Treatments l FESS l Balloon Sinuplasty/FinESS
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