Chronic sinusitis how to get rid of. Chronic sinusitis can be cured with a folk remedy that helps many

The danger lies in the fact that in the absence of treatment and erased signs, the disease causes constant intoxication of the body.

Reasons for development

Anomalies in the structure of the nasopharynx (curvature of the nasal septum, hypertrophy of the inferior turbinates, adenoids);
Irrational antibiotic therapy and resistant strains of bacteria;
Adverse external factors(dust, gas, smoke, dry indoor air);
Allergic diseases in history (chronic allergic rhinitis, bronchial asthma);
Fungal invasion (candida, fungi) with a decrease in immunity;
Chronic infectious diseases of the nose and throat (chronic tonsillitis, adenoiditis);
Odontogenic pathology and foreign bodies in the sinus cavity (filling material);
See detailed analysis every reason.

Among bacteria, the most common chronic process H.influenzae, S.pneumoniae and Moraxella catarrhalis are sown in the sinus.

Symptoms of chronic sinusitis depending on the form

Exacerbation of chronic sinusitis proceeds in the same way as acute sinusitis. The patient is concerned about headache, nasal discharge, fever, sinus pain and nasal congestion.

Outside of exacerbation, the nature of the symptoms depends on the form of sinusitis and the characteristics of the organism.

Symptoms of a purulent form

Difficulty in nasal breathing in varying degrees;
Decreased sense of smell or its absence;
Periodic headaches without precise localization;
Symptoms of chronic intoxication of the body: lethargy, fatigue, loss of appetite, subfebrile temperature, increased nervousness;
Profuse nasal discharge different nature: mucous, mucopurulent and purulent;
Ear congestion;
The development of a cough due to irritation of the mucous membrane of the posterior pharyngeal wall with constant secretions;
Less often, the appearance of lacrimation due to blockage of the nasolacrimal canal.

Symptoms of the odontogenic (tooth) form

The lower wall of the maxillary sinus is formed alveolar process upper jaw. In most people, the roots of the 4th and 5th teeth protrude into the lumen of the sinus, which sometimes are not even covered with a mucous membrane. With the development of pathological processes in the oral cavity, the infection penetrates into the sinus and an inflammatory process develops.

As a rule, inflammation appears on one side - where the bad tooth is;
The development of the disease may be preceded by a visit to the dentist and treatment of the upper teeth;
Does not respond to the standard treatment regimen (antibiotic therapy, sinus lavage) without eliminating dental pathology;
Discharge from the nose has a specific fetid odor.

Symptoms of the fungal form

Often, a fungal infection of the sinuses is preceded by a long and sometimes uncontrolled intake of antibacterial drugs. It can also develop against the background of a decrease in immunity or in immunodeficiency states (HIV infection, taking cytostatics, etc.).

The nature of the discharge from the sinus depends on the type of fungus. With candidiasis, the discharge is cheesy, whitish in color, with aspergillosis - black-gray and thick, mold fungi cause a yellowish jelly-like discharge.

Symptoms of an allergic form

Occurs in conjunction with signs of allergic lesions of the nasal cavity. Special symptoms:

Paroxysmal course, a certain seasonality of the disease with allergies to the pollen of different plants: trees during the flowering period, cereals, as well as spores of some fungi.

Symptoms are aggravated after contact with the allergen: sneezing, itching, watery eyes, pain in the sinus area, clear watery discharge from the nose. long current process causes polypous degeneration of the mucosa. In such cases, you can consider polyps that fill the nasal cavity and interfere with full breathing.

The symptoms of these forms of chronic sinusitis can be almost imperceptible, gradually leading to the depletion of the body's immune forces and causing the development of severe complications.

Chronic sinusitis in children and the behavior of parents

Symptoms of sinusitis in children can be erased and mild, in addition, children rarely attach importance to the developing signs of the disease, which does not cause them significant discomfort. The task of parents is to recognize the erased symptoms of the disease in time and consult a doctor. Their main manifestations include:

Chronic runny nose can be expressed to a greater or lesser extent, it is not amenable to conservative therapy and lasts more than 2-3 weeks.

The baby ceases to smell, and this is one of the reasons for poor appetite.

Difficulty in nasal breathing: the child snores in a dream, breathes mainly through the mouth, speech acquires a characteristic shade of nasality.

Edema in the nasal cavity can cause ear congestion, the baby often asks again or does not hear the parents. Older children may report that they think they hear their own voice inside (autophony).

Due to the thin bone walls of the sinus in a child, the process can move to the wall of the orbit and manifest itself as swelling of the eyelids, pain in the eyes, conjunctivitis. These symptoms are especially pronounced in the morning and after sleep.

Dry, irritating cough that does not respond to antitussive therapy. It occurs due to irritation of the posterior pharyngeal wall with discharge from the sinus.

Chronic sinusitis without exacerbation in children preschool age gives mainly a clinical picture of chronic intoxication: increased nervousness, poor appetite, drowsiness and lethargy.

In older children, the disease proceeds in the same way as in adults, but the likelihood of complications and involvement of other sinuses in the process increases due to the increased reactivity of the child's body.

Diagnostics

Diagnosis is based on a combination of data from a medical examination, laboratory and instrumental tests.

First of all, the doctor collects an anamnesis, specifying the patient's symptoms, the duration of the disease and the previous treatment regimen. Then proceeds to the external examination, sinus palpation and anterior rhinoscopy.

When performing anterior rhinoscopy (medical examination using a nasal mirror), a preliminary anemization of the nasal cavity is performed (introduction into the nose vasoconstrictor drops) to carefully examine the condition of the nasal cavity and its structures:

The presence of a strip of pus in the middle nasal passage.

Is one of reliable signs sinusitis. Purulent discharge may be absent when the sinus outlet fistula is blocked.

It can persist even after the introduction of vasoconstrictor drops and talk about the development of chronic hypertrophic rhinitis, which interferes with full breathing and normal outflow of contents from the sinus.

The presence of ridges, spikes, curvature of the nasal septum.

They interfere with normal nasal breathing and contribute to the development of chronic sinusitis.

Paleness and cyanosis of the inferior turbinates.

May indicate the presence allergic rhinitis, which is often combined with chronic allergic sinusitis.

Other diagnostic manipulations:

Superficial examination of the teeth.

On examination oral cavity pay attention to the condition of the teeth from the side of the inflamed sinus. The tapping of a dubious sealed tooth causes it to be painful if present. inflammatory process. In such cases, a consultation with a dentist is prescribed.

Taking x-rays is not always a good way to get the right information, especially in chronic processes.

More accurate data are provided by the results of CT: it is possible to assess the degree of destruction of the walls of the sinus, whether the pathological process has affected other sinuses and structures of the facial skeleton.

MRI provides information about the existence in the cavity maxillary sinus soft tissue neoplasms (for example, cysts or tumors).

Performing a diagnostic puncture of the maxillary sinus allows you to visually assess appearance and the amount of discharge, as well as send it for sowing for the selection of rational antibiotic therapy.

Study of a sample from the sinus.

Bacteriological culture is a special microbiological research, in which the obtained contents of the maxillary sinus are applied to certain nutrient media at given parameters of humidity and temperature and the growth of pathogenic and opportunistic bacteria and their resistance to antibiotics are observed.

The advantage of the method is the ability to make an accurate diagnosis, and the disadvantages are the duration of data acquisition (it is necessary to wait for the growth of the culture, which takes about 7–10 days) and high requirements for equipment and laboratory personnel to obtain accurate results.

The reliability of culture is affected by the recent intake of antibacterial drugs, so at least 3-4 weeks should pass after the end of antibiotic treatment. Visual endoscopic examination.

A modern diagnostic method is a direct visual examination of the nasal cavity and maxillary sinus using special endoscopic equipment.

Laboratory tests of blood and urine, in the absence of complications, are practically not informative. In allergic processes, an increase in the level of eosinophils in the blood is observed. Chronic intoxication the body can cause an increase in leukocytes and ESR.

Treatment of various forms of chronic sinusitis

The key principles of treatment of chronic forms of sinusitis are:

The choice of antibiotic, strictly taking into account the sensitivity of the pathogen;
Exacerbation of sinusitis is treated in the same way as the acute form;
Treatment of chronic sinusitis in remission is carried out conservatively (sinus lavage, physiotherapy, mucolytics, antihistamine and restorative therapy);
If necessary, corrective operations are performed to restore sinus aeration and normal nasal breathing: septoplasty, removal of adenoids, conchotomy, polypotomy, etc.;
With absence positive effect From conservative therapy and the development of complications, chronic sinusitis is subject to full surgical treatment.

Treatment of a purulent form

Taking into account the spectrum of pathogens, protected penicillins, macrolides and 3rd generation cephalosporins are used to treat chronic forms.

3rd generation cephalosporins. Representatives - Pancef, Suprax, Zinnat.

High level of bacterial activity against most gram-positive microorganisms that cause the disease;
Achieving a high concentration of the drug in the sinus mucosa;
Convenient dosage regimen of 1 capsule (400 mg) once a day for 5-7 days;
A smaller percentage of allergy development compared to penicillins.

Macrolides. Representatives - Azithromycin, Sumamed.

It has a bacteriostatic, and in high concentrations and a bactericidal effect;
Acts on extra- and intracellular pathogens (chlamydia, fungi, etc.);
Suitable for patients allergic to antibiotics of the penicillin group;
Easy to use 1 tablet (250 mg) once a day for 3-6 days.

protected penicillins. Representatives - Augmentin, Amoxiclav.

A wide spectrum of action, affects most likely pathogens of sinusitis;
Relative safety and possibility of use in pregnant and lactating women;
Used in children of any age in the appropriate form and dosage;
Thanks to clavulanic acid, it is active against bacteria that produce enzymes that destroy ordinary penicillin.

Mucolytics.

The representative is carbocysteine (mucodin). Stimulates the functional activity of the epithelium respiratory tract and facilitates the discharge of pathological discharge from the sinus. Can be used in both adults and children.

The use of antiallergic drugs (zodak, zyrtec, tavegil, etc.) can be started at the time of exacerbation or a week before the expected exacerbation (if you are allergic to the flowering of certain plants).

Glucocorticosteroids for intranasal use.

Representatives: Avamys, Flixonase, Nasonex. They have a pronounced anti-inflammatory and anti-allergic effect, but there are no side effects of systemic hormones due to the low concentration of the substance in the blood.

Used in children from 4 years. Use for a long time up to 3-4 months. Such drugs retain their activity for some time after stopping treatment.

Contribute to the discharge of discharge from the sinus:

Punctures with drainage and regular washing of the sinus with antiseptic solutions;
Treatment with YAMIK catheter;
Washing the nose by moving liquids according to Proetz.

Physiotherapy.

Magnetic and laser therapy, UHF, electrophoresis, etc.

Irrigation and washing of the nose.

Salt solutions (saline, aquamaris, etc.).

Perform operations that help restore full nasal breathing:

Septoplasty is the elimination of the curvature of the nasal septum by removing or changing the shape of its bone or cartilage part.

Adenotomy - removal of adenoids, performed in children, in rare cases in adults.

Bilateral inferior conchotomy - resection of the enlarged part of the inferior turbinates.

They carry out surgical and conservative treatment of chronic diseases of the oropharynx (chronic tonsillitis, pharyngitis, etc.)

Treatment of the odontogenic (tooth) form

First of all, for treatment, they eliminate the cause in the oral cavity that provokes sinusitis. This may be a carious tooth or a fistula formed as a result of tooth extraction, but not closed in time and through which bacteria from the mouth enter the maxillary sinus.

An operation is performed in which pathological contents, foreign bodies are removed and the sinus is washed with an antiseptic solution. Drainage is left in the sinus for 3-4 days;
If the cause of the disease is a damaged tooth or its root, then after or during the operation they are removed and the communication between the sinus and the hole is closed extracted tooth. If the cause is gum disease, then dead tissue is removed, professional cleaning teeth;
In the postoperative period, antibiotic therapy, mucolytics and preparations for washing the nose and mouth are selected.

During remission, treatment is the same as for purulent non-acute forms of the disease, only with compulsory hygiene mouth and visits to the dentist.

Treatment of the allergic form

To diagnose the causative allergen, they visit an allergist who prescribes:

Skin scarification tests.

Held on inner surface forearms: small scratches are made with a sterile instrument, then a pre-prepared allergen is applied to them and the skin reaction is evaluated.

Among the shortcomings: a high frequency of false positive reactions, it can not be carried out during an exacerbation of the allergic process, a small number of samples (about 10).

The essence of the method: Depending on the molecular weight, antigens are applied to nitrocellulose paper in the form of separate strips. If there are antibodies to antigens in the blood, then a dark line appears on a certain area.

Four standard panels are used (food, inhalation, mixed, pediatric), which contain the most common allergens of their class. After identifying the allergen, measures are taken to eliminate it or limit contact:

If possible, during the flowering period of causative allergens, go to another climatic zone;
Frequent wet cleaning in the house;
The use of vacuum cleaners with HEPA filters, cleaners, humidifiers;
Refrain from walking during these periods;
Regular shower after the street and change of clothes.

specific immunotherapy.

A small amount of the allergen is injected under the patient's skin, gradually increasing the dosage, so that the immune system learns to cope with the disease on its own.

Several courses of such therapy are required, it is not suitable for patients with sensitivity to various allergens, it is carried out during the period of remission.

Radical maxillary sinusectomy (surgery)

Sometimes the treatment of chronic sinusitis is impossible without serious measures. With the ineffectiveness of conservative therapy and the development of orbital and intracranial complications, as well as the formation of polyps and cysts, radical maxillary sinusotomy is performed.

The essence of the operation: An incision is made along the transitional fold from 2 to 5 teeth. With special tools, they penetrate into the sinus through the front wall. A visual inspection is carried out and the contents of the sinus are cleaned, followed by sending it for histological examination. They form a message between the sinus and the nasal passage, leave a tube in this hole for washing the sinus. Suture soft tissues.

Postoperative management: The sinus is washed through the formed fistula for 3–4 days, the edges of the wound are treated with an antiseptic solution, antibiotic therapy is mandatory.

In children, such an operation is practically not performed, only with the development of life-threatening complications.

Folk methods of treatment

How to cure chronic sinusitis? With a long protracted course of the disease, tired of taking medications, patients begin to treat chronic sinusitis with folk methods.

Washing and disinfection.

Treatment of the disease is carried out with the help of herbs with antiseptic properties: chamomile, calendula, St. John's wort. A solution prepared from these herbs is used to wash the nose to remove pathological contents from the sinus.

They also use plants that increase overall immunity and help the body cope with the infection itself: ginseng root, eleutherococcus, echinacea.

Apply steam inhalation with potatoes, bay leaf, aloe and other herbs to relieve nasal congestion and improve the outflow from the sinus.

You can make an ointment that will help clear the nasal passages. Garlic, honey and vegetable oil are mixed in equal proportions, the resulting mixture is spread on cotton turundas and injected into both nostrils for several minutes.

After that, the turundas are removed and the nose is actively cleaned. This ointment irritates the nasal mucosa and helps to get rid of mucus that accumulates in the nose.

Preventive actions

Prevention of colds by strengthening the general immunity of an adult and a child with the help of normal mode sleep and rest, hardening, moderate physical activity, good nutrition and walks in the fresh air;
Vaccination against influenza and other infections;
Timely rehabilitation of foci of chronic infection: tonsillitis, rhinitis and adenoiditis;
Treatment and prevention of diseases of the dentoalveolar system: regular brushing of teeth after eating, the use of dental floss, visiting the dentist once a year, treatment of caries, periodontal disease, etc.
Control of allergic diseases and elimination of contact with the causative allergen;
Creating an optimal temperature and humidity regime in the room, since dryness or excessive moisture of the nasal mucosa disrupts its operation and makes it difficult to remove mucus and dust particles from the nasal cavity and sinus. For this purpose, you can use climate technology;
Periodic irrigation or nasal irrigation with solutions sea salt bought at a pharmacy or prepared independently;
Living in an ecologically unfavorable area or area can cause another exacerbation of the disease, therefore, in critical situations, you should think about moving to a place with a more favorable environment and climatic conditions;
When making a diagnosis of "chronic sinusitis", it is necessary to reconsider the sports that a person is fond of. A visit to the pool, swimming, can cause infected or chlorinated water to enter the sinus and provoke another exacerbation. Diving, flying on an airplane, climbing mountains due to pressure drops sometimes cause an exacerbation or development of diseases of the ear, nose and sinuses.

With a competent approach to prevention, it is possible to achieve a state of stable remission and a noticeable improvement in the quality of life.

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Is it possible to cure sinusitis forever at home?

Sinusitis is an inflammatory process of the maxillary (maxillary) sinus of the nose. The cause of inflammation is most often untreated colds and runny nose, as a result of which an accumulation of mucus occurs in the nose, which acquires a purulent character. Timely decision problems allows you to cure sinusitis at home without surgery (without puncture).

What drops in the nose for sinusitis in children are most often used, indicated in this article.

Causes of the disease

The actual cause of the development of sinusitis is an infection that has entered the nasal cavity during breathing or through the blood. Interestingly, in many people in a relatively healthy state, staphylococcus aureus can live on the mucous membrane of the nasopharynx, causing absolutely no inconvenience and problems to its carrier. However, even with the slightest changes in the body, it quickly becomes active and begins to show its pathogenic properties. Other micro-organisms can also be causative agents.

The following factors can provoke the development of sinusitis:

Vasomotor and hypertrophic rhinitis;
Deviated septum;
Injury to the mucous membrane of the maxillary sinuses;
Dental diseases, non-compliance with oral hygiene;
Polyps and adenoids in the nasal cavity;
Advanced forms of colds, uncured runny nose;
Hypothermia of the body;
Weakening of the immune system;
The impact of aggressive environments on the nasal mucosa;
Mechanical damage to the nasal septum.

The reason for the accumulation of mucus, against which sinusitis develops, can be the regular use of nasal drops for the treatment of rhinitis.

First signs and symptoms

Characteristic headache - the first sign of sinusitis

The manifestation of sinusitis begins with pain in the nose area, the pains gradually increase, while they are more pronounced in the evening than in the morning. With the onset of sinusitis, headaches, nasal congestion, shortness of breath first appear, and a runny nose accompanies such symptoms. As the disease progresses, the clinical picture becomes more pronounced, the patient may experience the following signs diseases of sinusitis:

General weakness, lack of appetite, sleep disturbances;
Increased body temperature, chills;
Profuse mucous discharge from the nose;
Feelings of pressure on the bridge of the nose;
Coughing fits;
memory impairment;
The development of prolonged pharyngitis, tonsillitis, rhinitis.

Important! Seeking medical help should be immediate if a runny nose does not go away within 7 days, if after 3 days of self-treatment the patient's condition worsens, pain in the eyes appears and vision is impaired.

Diagnostics

Diagnosis of sinusitis includes anamnesis, analysis of patient complaints, external examination, as well as examination of the nasal mucosa. In addition, a mandatory measure is the x-ray of the maxillary sinus. If the listed methods are uninformative, then a puncture of the maxillary sinus is performed.

How to treat at home

At home, the treatment of sinusitis is complex, the basics of therapy are aimed at suppressing inflammation, eliminating edema, removing mucus, and calming the mucous membrane. Treatment at home can be carried out not only with medications, but also with folk remedies. IN medical centers also use a special pit method for the treatment of sinusitis.

The disease progresses for various reasons, they cannot be established without a qualified medical care. In order for self-medication to bring benefits, and not even more harm, it is imperative to consult a doctor about the use of a particular remedy.

Folk recipes

Warming is used to improve the removal of an inflammatory infection from the maxillary sinuses. In the treatment of sinusitis, warming should be dry; in no case should you use wet ones. As dry warmings, you can use sea or iodized salt wrapped in cotton fabric boiled egg or boiled potatoes.

Blue lamp for heating - one of the best helpers in the treatment of sinusitis at home

One of the best heating methods is a special blue lamp (the official name is the Minin reflector). Shining through the skin, the light from the lamp warms the sinuses, eliminates swelling and improves the general condition. For a successful recovery, it is recommended to carry out two to three procedures every day.

The article indicates a massage for sinusitis in pictures.

An effective and effective method of treating sinusitis at home is the use of compresses, below are proven recipes that have collected only positive reviews on the Internet:

Black radish juice and salt. To prepare a medicinal product, juice is squeezed out of the root crop, in which gauze is soaked, then it is moistened in a small amount of slightly warmed sunflower oil. The compress is applied to the maxillary sinuses, and bags with heated salt are applied to it. For successful treatment sinusitis such a compress is recommended to be applied twice a day. The norm for children is 30 minutes, the norm for adults is 60 minutes.
Honey and propolis. In order to prepare a home remedy for sinusitis, thick honey and propolis grated on a fine grater are mixed in equal amounts. I make a cake from the mixture, it is applied to the maxillary sinuses, fixing it with adhesive tape. The compress is applied all night.
Bay leaf. The leaves of the plant must be poured with water, then boiled over low heat. IN bay broth you need to moisten the cloth and apply it to the sinuses. The compress should be kept until the tissue cools. It is recommended to carry out six procedures.
Onion juice and aloe juice, honey. Recipe from simple healing ingredients: one teaspoon egg white, plant juice and honey and half a teaspoon of onion juice, mix and use warm for compresses.

Recipes effective solutions for washing the nasal cavity:

Sea salt. Salt from the bottom of the sea is one of the best ingredients for washing solution. The product is taken in the amount of one teaspoon, diluted boiled water(200 milliliters). This solution is recommended to be used, alternating with other means for washing the nasal cavity.
Green tea. The wash drink is infused for twenty minutes, then used for its intended purpose. According to this recipe, a solution of St. John's wort is also prepared, taking one tablespoon per glass of boiling water. Similarly, you can prepare a solution of calendula, string and blackcurrant leaves.
Chamomile decoction. For cooking home remedy medicinal chamomile herb is poured with water in a ratio of 1:10, brought to a boil over low heat, boiled for about thirty minutes. Before use, a teaspoon of natural honey is stirred in a glass of broth.

How is the treatment of sinusitis by the cuckoo method, indicated in this article.

Homemade drops:

Potato Drops. To prepare drops, take an equal amount of potatoes and onions, mix the squeezed juice from these vegetables and add a little honey there. The drops are ready, the medicine is stored in the refrigerator, instilled when the nose stops breathing.
Drops of onion and garlic. Half an onion and two cloves of garlic are passed through a press and mixed with a small amount of vegetable oil. Within two weeks, the remedy is insisted, after the time has elapsed, the filtered medicine is used as drops.
Aloe juice. Aloe juice for the treatment of sinusitis is used in its pure form, the agent is instilled into the nasal passages several times a day. For greater effectiveness, a small amount of honey can be added to aloe juice.

How is the prevention of sinusitis in adults, you can find out by reading this article.

Medications

For the outflow of mucus and pus with sinusitis, vasoconstrictor sprays are used, as well as drops of the same action.

For the treatment of sinusitis at home, the doctor may prescribe antibacterial drugs, the most effective are azithromycin, augmentin, third-generation cephalosporins. If the patient is intolerant to penicillin-based antibiotics, macrolides and tetracyclines may be prescribed. Effective action render topical antibiotics with sinusitis - Isofra, Bioparox.

How much to treat sinusitis with antibiotics? The first effect of antibacterial therapy is usually observed 48 hours after the use of the drugs.

For the outflow of mucus and pus, vasoconstrictor sprays are used, as well as drops of the same action (Nazivin, Naphthyzin, Sanorin, Otilin). In case of sinusitis allergic type also conduct antihistamine therapy.

To enhance the effect of topical drugs, you can use a nebulizer if the body temperature does not exceed 37.5 degrees. Inhalation with a nebulizer is carried out after the use of vasoconstrictor drops. The procedure lasts a minute. For inhalation, you can use antibiotics (Isofra, Gentamicin, Dioxidin), anti-inflammatory drugs (Rotokan, Chlorophyllipt solution), antiseptics(Malavit, Miramistin), vasoconstrictors(Naphthyzin, Naftozolin), saline and alkaline solutions.

The article contains reviews of drops from Rinofluimucil sinusitis.

Consequences and complications

In the absence of adequate and timely treatment, sinusitis can cause serious complications. Most often, the development of complications occurs if the patient's immunity is reduced to a significant extent.

Infection with sinusitis can go to visual organs, which will cause various pathological processes, the most likely:

Swelling of the tissue of the orbit;
swelling of the eyelids;
periostitis of the orbit;
Inflammatory process of eyelid tissues;
The appearance of fistulas of the eyelids;
Suppuration of the periosteum;
The appearance of a purulent focus behind the fiber.

From the nasal maxillary sinus, the infection can also go to the hearing organs, in which case there is a high probability of developing otitis media with a serious hearing loss. The most dangerous are intracranial complications. Although intracranial complications are quite rare, they should not be discounted.

Sinusitis can cause the development of complications such as swelling of the meninges, purulent meningitis, meningoencephalitis, brain abscess.

How to use an antibiotic for sinusitis in adults can be found in the article.

Video

Watch a video that will help you forget about sinus forever:

Consequences that threaten life and health can be avoided if the disease is treated in a timely manner, as well as the prevention of sinusitis. Do not self-medicate without first consulting a doctor, qualified specialist will prescribe the appropriate treatment and present the pros and cons of a particular drug.

Total: 1

Of course, there are a lot of resources. Personally, I diluted sea salt in a glass of water at room temperature. One teaspoon is enough. In addition, after the procedure, do not go outside. In no case should you sit over the steam, so that the pus does not go further into the head. But it is better not to engage in the treatment itself for a long time, so that there are no complications and consult a doctor to prescribe antibiotics.

As for sinusitis, it is better not to joke with him. It is dangerous and gives complications. In addition, pus can go further into the head. I have personally washed my nose with sea salt solution. But after washing, it is not recommended to go anywhere, so that the mucous membranes do not become inflamed. Alloe with honey is also effective. But if you see that it does not go away, then it is better to go to the doctor to prescribe treatment.

So that sinusitis never occurs - which is much more important than "how to cure it", you need to constantly not missing a day - drink 1 glass of water every hour - simple, without gas, without sugar, clean drinking water and that's it. There is one thing - you can not miss a day in your life without water! Then, with any flu and runny nose, you will simply and easily carry it on your feet and your runny nose will never develop into sinusitis!

I do not agree. I drink 2 liters of water every day, but now I am treating sinusitis.

When a runny nose occurs, we usually do not attach serious importance to it. It gradually passes by itself or nasal drops help out, which we use while in society. Prolonged secretion of mucus is also not always alarming. And it’s completely in vain, because the next stage in the development of the disease is sinusitis ...

Sinusitis and its consequences

The accumulation of pus in the paranasal sinuses is the main manifestation of sinusitis. Inflammation of the mucous membrane occurs, which blocks the anastomoses and stops the normal outflow of mucus. Surgical intervention is only necessary when the disease is advanced. Is it possible to completely cure chronic sinusitis without surgery, when the patient is responsible for his health?

In the maxillary sinuses, along with mucous secretions, there is a pathogenic microflora. Strains of microbes actively multiply and the process of inflammation proceeds with a vengeance. In this case, the patient is observed:

headache in the frontal and temporal lobes;
interruptions in breathing (breathing through the mouth predominates);
persistent nasal discharge;
temperature rise.

There are other symptoms by which sinusitis can be diagnosed: slight swelling of the facial part, sore throat during swallowing, nasal voice, general weakness as a result of intoxication of the body. In acute sinusitis, all these signs are fully manifested.

Since the disease does not always have clear manifestations and resembles acute respiratory infections or acute respiratory viral infections, only an ENT doctor can make a clear diagnosis based on a complete laboratory examination.

In the absence of treatment or self-medication, complications are possible:

development of panophthalmitis (purulent inflammation of the membranes of the eyeball);
the formation of meningitis;
the occurrence of otitis and other inflammations of the ear, leading to hearing loss;
growth of polyps and cysts in the nasal cavity;
decreased sense of smell or its loss;
sepsis or blood poisoning, which can be fatal.

Due to the abundance of microorganisms that first develop in the maxillary sinuses, and then begin their “victory march” throughout the body, damage is possible various bodies so treatment is essential.

Treatment methods for sinusitis

sinusitis in chronic stage requires a systematic approach and getting rid of it is quite difficult. Most often, inpatient treatment is recommended, when the doctor monitors the course of the disease and the regularity of the procedures.

Non-surgical treatment of sinusitis includes complex therapy to normalize breathing, relieve edematous and inflammatory processes, release from mucus and pathogenic microflora.

The use of medicinal drugs

Treatment and preventive measures aimed at eliminating foci of chronic infection are being carried out. If the inflammation was provoked by bacteria, then a course of antibiotics is prescribed:

In parallel, drops or sprays are introduced that have a vasoconstrictive effect: Nazivin, Otrivin, Galazolin, whose task is to relieve swelling on the nasal mucosa. They are prescribed for a short time, as they can be addictive.

An excellent combined drug to treat chronic sinusitis is Rinofluimucil, which has a decongestant and mucolytic effect, which is often used during treatment.

The most difficult thing is to choose antibiotics that act on a specific pathogen. In 70% of cases, they are ineffective due to the resistance (addiction) of bacteria to them. With the wrong remedy, the course rehabilitation therapy drags on.

In order for the immune system to work in full force, the immunologist recommends immunocorrectors: Ribomunil, Imudon, IRS-19, immunoglobulin preparations. If sinusitis is of an allergic nature, then antihistamines are indispensable: Eden, Erius, Telfast.

The use of physiotherapy

To cure sinusitis without surgery, it is necessary to periodically flush out accumulations of pus from the sinuses along with microorganisms. For washing cavities, special disinfecting solutions are used: Dioxidin, Furacilin. After completion of the procedure in internal cavity the nose is injected with antibiotics or enzyme preparations.

With a cold at the initial stage, be sure to rinse inner part nose saline several times a day. "Nose shower" can be carried out using special sprays. They make breathing easier and prevent subsequent complications.

The method, which enjoys well-deserved popularity, taught the name "Cuckoo" (Proetz washing method). To carry out the procedure, an ENT combine, a syringe and an antiseptic are used. During flushing, the patient says “coo-coo” so that the circulating fluid does not drain into the throat.

An alternative to the puncture was the YAMIK catheter method, invented by a domestic doctor, Dr. Kozlov. It is used by adults and children from 5 years of age. The action is based on the pressure difference created in the nasal cavity. Purulent accumulations are sucked out of the diseased sinus, while its integrity is not violated and the mucosa is not injured. The disadvantage is severe pain during the procedure.

With the development of acute sinusitis, there is a need for draining puncture of the maxillary sinuses. Thanks to this procedure, the lumen of the anastomosis is restored, accumulations of pus are removed, and local antibacterial agents are introduced into the nasal cavity.

support during remission healthy state physiotherapy helps the body:

When the disease subsides, procedures are prescribed for washing the nose with special preparations, as well as using nasal sprays that relieve swelling and inflammation. A “temporary respite” must be used to get rid of the cause that causes the disease.

With allergies, it is important to remove the effects of the irritating substance (allergen). If the cause is stomatitis, then diseased teeth damaged by caries should be treated. When it is a natural defect, like a curvature of the nasal septum, it is necessary to give it a normal shape through surgical intervention. When the adenoids are enlarged, treat them accordingly.

The scheme and duration of the course is prescribed by an ENT doctor. You can not self-medicate and stop drinking antibiotics as soon as relief has come. With this approach, the development of purulent sinusitis and a repeated, prolonged course of the disease are possible.

A positive prognosis is given for non-surgical treatment of sinusitis. Using conservative methods, the patient is able to get rid of such a serious and serious illness. Complete cure for chronic pathology is possible only in the case when the treatment is carried out in full and the patient has completed all the procedures prescribed for him.

Deviated septum, presence of adenoids, turbinate hypertrophy.
Wrongly selected antibiotic therapy rhinitis.
An infection affecting the paranasal sinuses.
External factors - an abundant amount of dust, gas, smoke, dry air.
Allergy in history - bronchial asthma, chronic allergic rhinitis.
Weakening of the immune system.
Infectious pathologies of the nose, throat.
Foreign objects in the sinuses - dental fillings.

In the presence of the above factors, acute sinusitis can go to the chronic stage.

Factors contributing to the process chronization:

Wrong treatment.
The presence of a chronic infection in the nasopharynx - rhinitis and tonsillitis.
Curve nasal septum, due to which the outflow of mucus is disturbed. It can be a congenital or acquired (trauma) defect.
The presence of cystic formations in the paranasal sinuses.
Dentistry - diseases of the oral cavity, in particular the pathology of the maxillary dentition.
Pathologies of tissue, vascular permeability in the area of the nasal sinuses.

Symptoms

Symptoms of chronic sinusitis appear at the time of exacerbation of the disease. The main features include:

weakness, malaise.
body temperature up to 37.5 ºС.
stuffy nose, green discharge.
pain in the forehead, teeth and at the root of the nose. The pain becomes stronger at the moment of tilting the head forward or when coughing.
voice changes.

In the absence of timely treatment of sinusitis, nasal discharge will acquire a yellow tint. In the future, it develops into a purulent form.

Development mechanism

In the facial bones of the skull there are special pockets - the maxillary sinuses. They are connected to the nasal cavity with the help of an anastomosis. Near the nasal passages are the maxillary sinuses, their purpose is to warm, disinfect and humidify the inhaled air.

On the outer side of the sinuses there is a mucous membrane, consisting of an epithelium, under which there is a loose connective tissue and capillaries. Various reasons can provoke the development of inflammation and thereby close the fistula between the sinus and the nasal cavity, which will block the outflow of nasal secretions from the sinus.

Prolonged stagnation in the maxillary sinuses becomes the main cause of sinusitis. During the acute stage, the inflammatory process of the sinus mucosa starts and lasts, on average, from 3 to 4 weeks. If treatment is absent or interrupted too early, then the pathology passes into the chronic stage.

Sinusitis can go into remission, which will alternate with exacerbations. If inflammation in the maxillary sinuses lasts more than 6 months, such a course is recognized as chronic.

Classification of chronic sinusitis

catarrhal. Inflammation of the mucous membrane. The latter acquires a red color, swells and is filled with blood. The sinuses contain secretions. The process can be unilateral or bilateral.
Purulent. The entire contents of the sinuses become pus. It happens during an exacerbation of chronic sinusitis.
Parietal-hyperplastic. Hyperplasia (thickening) of the mucous membrane of the sinuses occurs, later polyps appear on it. It is characterized by rapid and abundant discharge.
Fibrous chronic.
Allergic chronic. Appears unexpectedly. The main reason is the impact of a specific stimulus. It is characterized by swelling of the nasal mucosa and discharge from the nose in large quantities.
Cystic. Occurs in the nasal cavity or sinuses cystic formation. Appears anywhere and any size.
Polypous. The formation of a polyp, which later begins to grow.
Mixed. Polyps with purulent discharge may form.

Depending on the mechanism of infection

Rhinogenic. The causative agent entered through the nasal passages.
Hematogenous. Pathology penetrated into the sinuses with the blood flow.
Odontogenic. Sinusitis arose due to an infection that passed through the root of the diseased tooth.
Traumatic. Associated with injuries of the skull, face, which caused swelling of the mucous membrane of the sinuses, thereby creating favorable conditions for the reproduction of bacteria.

Complications of chronic sinusitis

The development of tonsillitis, laryngitis, pharyngitis.
Dacryocystitis. The lacrimal sac is affected. Subsequently, he is concerned about increased lacrimation, pain, purulent discharge.
Memory is impaired, concentration is reduced. Due to poor breathing, hypoxia develops, which has Negative influence to mental activity.
Apnea is sometimes noted. This contributes to the occurrence of heart disease.
Inflammatory processes of facial tissues are observed.
The development of diseases such as otitis media, bronchitis, pneumonia.
When pus enters the cranial cavity, meningitis, encephalitis, and brain abscess occur. Often leads to death.
Rarely - a purulent inflammatory process of the bones of the skull. Requires surgical intervention.
Slight visual disturbances. Sometimes leads to complete loss. Occurs due to damage to the eyeball.
Asthma.
Sepsis. Occurs when an infection enters the systemic circulation and spreads to all organs and systems.

In rare cases, the trigeminal nerve becomes inflamed, which occurs with severe pain. A certain complication of chronic sinusitis appears depending on the site of infection. It is also affected by the distance of the maxillary sinuses from the brain.

Diagnostics

Oral survey. The doctor will listen to the patient's complaints, on the basis of which he will draw primary conclusions.
Inspection. The patient's condition is assessed. After questioning, the doctor will perform a palpation. A slight tingling in the cheeks and forehead characterizes the presence of pathology.
Rhinoscopy. This instrumental method diagnostics.
Endoscopic. Allows you to learn about possible violations that interfere with the ventilation of the sinuses.
Radiography. The picture will show the amount of fluid, violations of the anatomical structure of the bones facial skull including the bones of the nose.
CT scan. Shows the progress of the disease and possible causes. It is recommended to undergo CT at the time of remission.
diagnostic puncture.
Antibioticogram.
Oropharyngoscopy. The cavity of the oropharynx is examined.
Diaphanoscopy with Hering's lamp.

How to cure sinusitis

How can sinusitis be treated? There are several options:

in the hospital.
at home (outpatient).
folk methods.

In the hospital

For more effective treatment, complex therapy is carried out.

Course of medications and physiotherapy

Electrophoresis with drugs. Reduces inflammation.
Inhalation procedures with the use of antiseptics, antibiotics and glucocorticosteroids.
Ultrasound. Starts metabolic and regenerative processes in tissues.
Diadynamic impulse currents. Assign when purulent inflammation. The advantages of this method are that it removes inflammation, starts the drainage functions.

In some cases, surgical intervention is prescribed:

with the active development of chronic sinusitis.
with fungal infections that develop in the sinuses.
if conservative treatment does not give results for 21 days.

All procedures are strictly prescribed by a doctor.

A puncture may also be prescribed. The piercing is carried out with a Kulikovsky needle under local anesthesia. Immediately after piercing, the doctor attaches a syringe and then sucks out the pus. In the future, the sinuses are filled with medicine.

Endoscopic surgery is considered the most optimal. It minimizes tissue trauma. It is carried out through an endoscope, which is inserted into the nose. With its help, polyps, mycetomas are eliminated and fistulas are restored. The doctor watches the process on the monitor.

The Colwell-Luc operation is the third surgical method of treatment. The pits that are above the gums are dissected, which opens access to the sinuses, then the latter are cleaned. The operation is performed under local anesthesia, in some cases anesthesia is used.

Ambulatory treatment

The main treatment should take place in the hospital. But during remission, the doctor may prescribe home washing of the maxillary sinuses and taking certain medications.

As a flushing solution, a simple saline solution or weak saline is used. Also, for home treatment, a pharmacy sells various sprays designed for this purpose. Before using them, you should consult your doctor.

Sometimes patients are prescribed antibiotics in small doses.

Medical therapy

Among the drugs most often prescribed:

macrolide antibiotics.
antihistamines.
decongestants (vasoconstrictor drugs).
antiseptic solutions.
glucocorticoids.
moisturizers.

Folk methods

Treatment with folk methods avoids a long stay in the hospital. But these methods are not suitable for everyone.

Before switching to home therapy be sure to notify the doctor about this, he will tell you in what cases it is impossible to resort to such treatment.

Perhaps the examination will show disappointing results that exclude traditional medicine and require surgical intervention.

sea salt therapy

For washing, it is better to use sea salt - it softens the water and disinfects. Heat water to 40-42 ºС and add 1 tsp. salt. Do not overdo it with the ingredient, otherwise you will burn the mucous.

Stir the sea salt in a glass until completely dissolved and leave for a while until it settles to the bottom.

How to rinse

Lean over a tub, basin, or other container with your head tilted to one side.
Insert a tube into the lower nostril. Water will run down it.
Do not infuse the liquid too quickly, it should flow smoothly and gradually through the other nostril.

If there are no negative consequences from the body, then you can continue to carry out such treatment yourself.

Celandine in the fight against disease

Celandine is popular means treatment among patients with sinusitis.

squeeze the juice from the plant.
mix with honey and aloe juice in equal parts.
soak a gauze swab in the resulting mixture and insert it into the nostril.

The duration of treatment takes 10 days.

Sometimes celandine is used to wash the nose:

Mix 200 ml of water with three drops of the juice of this plant.
draw in one nostril liquid as deeply as possible.
blow your nose and repeat this procedure with the other nostril.

The duration of treatment is 14 days. Washing is recommended no more than three times a day.

Thuja oil for the treatment of sinusitis

Thuja oil is extracted from cones and needles. Possesses antibacterial properties, is an excellent prophylactic agent and strengthens the immune system.
Watch a video about the treatment of sinusitis

For home treatment it is recommended to use the presented agent by inhalation. Mix 10 drops of oil with boiling water in a deep container. Bend over the liquid and start breathing deeply.

With chronic sinusitis, start dripping thuja oil into the nose. The duration of treatment is 14 days. The frequency is every 4 hours.

Treatment with honey and soda

Mix 1 tsp. soda, sunflower oil and honey. Wet cotton swab in the mixture and inject into the nostril for 15 minutes. At first, a slight burning sensation may disturb, but it will gradually pass.

Therapy with cyclamen juice

Cyclamen is a houseplant that can act medicine against chronic sinusitis. Mix it with water in a ratio of 1:4. Bury in the nose before going to bed. The juice of this flower causes some discomfort. If an allergic reaction occurs, stop taking the remedy.

Propolis treatment

Purchase a 20% alcohol tincture of propolis at the pharmacy. Use it only diluted. Mix it with vegetable oil in a 1:1 ratio. It can also be diluted with water in a ratio of 1:5. Drip the resulting mixture 2 drops into each nostril three times a day.

Kalanchoe therapy

Squeeze the juice from the leaves of the presented plant and bury it in the nose. This will provoke a slight irritation, which will lead to frequent sneezing and thereby partially eliminate pus from the maxillary sinuses. Use this remedy no more than three times a day.

Treatment with horseradish and lemon juice

Take fresh horseradish, rinse it well and chop it. Then mix with lemon juice. The result should be a thick mixture. Use this mass in 0.5 tsp. before eating. The duration of treatment takes 4 months. Then you should take a break and start the procedure again.
Watch a video about the treatment of sinusitis folk remedies:

It is worth noting that traditional medicine has helped many get rid of sinusitis.

Prevention

Avoid contact with people who have a cold. Don't forget to wash your hands.
Allergy sufferers need to monitor their condition. Get advice from a doctor - how not to provoke the development of an allergic reaction and to contain the symptoms.
It is recommended to exclude cigarette smoke. Avoid contact with dirty air. These provocateurs irritate the upper and lower respiratory tract.
Doctors advise to purchase special humidifiers for the air.

Conclusion

Chronic sinusitis is serious illness, which in the period of exacerbation can cause serious consequences.

It is important to start timely treatment and not delay going to the doctor when the first symptoms appear.

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Only identifying the causes of chronic sinusitis allows you to determine an effective method of treatment and get rid of it forever.

Chronic sinusitis is characterized by the fact that it develops in waves - the symptoms of the acute stage are replaced by remission and vice versa, and the treatment of the disease is difficult and often requires radical measures. But if you start treatment in a timely manner, you can do without surgery.

This article discusses the main causes and symptoms of chronic sinusitis (sinusitis), as well as effective methods for its treatment in adults. You can read more about the disease itself in our other dedicated to this topic.

You can see a schematic representation of the sinuses with unilateral and bilateral chronic sinusitis in the photo.

What is dangerous sinusitis in advanced form?

Inflammation from the sinus mucosa can spread to the tonsils and pharynx, causing pharyngitis, laryngitis, glossitis, and frequent tonsillitis. In addition, if left untreated, the pathological process in chronic sinusitis easily passes to other sinuses, causing ethmoiditis, frontal sinusitis, otitis media.

by the most dangerous consequences This disease is inflammation of the meninges and the brain itself (meningitis and encephalitis), as well as damage to the joints, kidneys and heart muscle. When an infection enters the bloodstream, sepsis (blood poisoning) can develop. To avoid such consequences, everyone should know about chronic sinusitis (sinusitis), its symptoms and methods of treatment.

Causes of the disease or why does acute sinusitis become chronic?

The main reason for the transition of the disease into a chronic form is the accumulation of dead (damaged) cells, both own and foreign, as well as their metabolic products (slags), in body tissues, including inside the maxillary sinus (maxillary sinus).

These accumulations are formed after previously transferred cases of acute sinusitis with its incorrect or incomplete treatment both with antibiotics and surgery. And also in case of injury without appropriate rehabilitation (additional cleaning of tissues and sinus contents).

Such accumulations of dead cells and their waste products create a favorable environment for the development of infection (bacteria, fungi or viruses) when it gets there again. And then the inflammation begins anew with renewed vigor, leaving behind another destruction.

Our body tries to fight this problem with the help of immune cells and the lymphatic system. However, the capabilities of the body are limited and are determined by the level of immunity, accumulated resources and reserves. You can read more about how the body is cleansed in the article "".

If the body cannot utilize damaged cells, then it transfers them to connective tissue. This leads to thickening of the walls of the sinuses and a decrease in the functions of the organ. In the same way, cyst formation can occur, and the problematic contents, remaining in the body, are temporarily protected. Thus, the pneumatization of the sinus is reduced, and accordingly its function is also reduced. It's kind of like a ticking time bomb.

When cells are destroyed, more quantity building proteins, which can lead to active division of other cells and, accordingly, uncontrolled tissue growth, which the body cannot allow. To do this, our body in the problem area increases oncotic pressure, which leads to the formation of edema.

Unutilized toxins, getting into the blood, carry out autointoxication (poisoning) of the body, causing pain, nausea, weakness and other manifestations of poisoning.

Another cause of chronic sinusitis are errors in dental treatment.

With deep treatment of the upper teeth, it is possible to get dental material or fragments of medical instruments in the bosom, which subsequently can cause periodic inflammation, as well as the development of fungal sinusitis. This can be identified by conducting an appropriate examination, for example, by making a computed tomography.

In this case, only the elimination of the cause - the removal of foreign elements can contribute to the cure of chronic sinusitis, and this may require sinusectomy.

With a decrease in immunity, almost any infection, whether viral, bacterial or fungal, can cause serious inflammation, and polyps can also form in the sinus, which reduce its function.

Doctor E.O. Komarovsky gives a few more possible causes the transition of sinusitis to the chronic stage:

constant exposure to the allergen;
the formation of antibiotic resistance in microbes, when pathogenic bacteria develop resistance to antibiotics, which, accordingly, significantly complicates the treatment of the disease.

That is why it is so important to find out the cause of chronic sinusitis before starting treatment!

Symptoms and signs

Symptoms of chronic sinusitis in adults are:

Headache
Swelling and feeling of pressure;
Impaired sense of smell, sensation of an unpleasant smell;
Irritability, fatigue, weakness;
There may be a subfebrile temperature of about 37 degrees;
Frequent congestion;
Discharge from the nose: thick, mucous, greenish or yellowish;
Exacerbations more than 4 times a year or the duration of one exacerbation for more than 3 months.

Symptoms and signs of chronic sinusitis are more common in people who have suggestive factors such as:

Weakened immunity;
Violation of the location of the nasal septum, adenoids, etc .;
Injuries to the nose or maxillary sinuses;
Smoking and other bad habits;
The presence in the nasopharynx of pathogenic bacteria, such as staphylococcus, the rapid development of which occurs due to a decrease in immunity.

Chronic sinusitis, the symptoms of which are listed above, is the final stage of development acute illness, that is, the patient's condition becomes worse and worse over time. Chronization of the process is facilitated by polyps in the nasal cavity, relapses of an acute disease more than 2-3 times a year, the presence of adenoids, working and living conditions, and, of course, improperly performed treatment or its complete absence.

Exacerbation of chronic sinusitis

In the absence of appropriate treatment, with a late visit to the doctor or the action of provoking factors, an exacerbation of chronic sinusitis may develop.

With an exacerbation of sinusitis, symptoms such as:

Increased headache, more in the position of the head down;
The pain begins to radiate to other areas, including the teeth;
Deterioration, rise in body temperature, the appearance of chills, weakness;
Purulent (green, greenish-yellow) discharge intensifies;
Unilateral or bilateral nasal congestion.

How to treat and cure chronic sinusitis (sinusitis)?

Comparison of different treatments

Type of treatment	When is it held	Indications for the treatment of chronic sinusitis	Contraindications	Possible Complications	Temporary disability during treatment
	With an exacerbation	Exacerbation, severe sinus pain, failure of other therapy	Acute infectious diseases, severe somatic diseases, early childhood	Bleeding, air embolism, damage to the sinus wall, infection in other sinuses
YAMIK therapy	With an exacerbation		sinus polyps, hemorrhagic vasculitis, tendency to bleed	Bleeding
Balloon sinusoplasty	With an exacerbation	Chronic sinusitis, including in childhood	Acute infectious diseases, severe condition	Bleeding, mucosal injury
Maxillary sinusectomy	With an exacerbation	Polyps, cysts, sinus formations, foreign bodies, failure of other therapy	Severe somatic diseases, blood clotting disorders	Bleeding, tooth damage, poor wound healing, secondary infection	From 3-5 days for endoscopic to 10-14 days for radical maxillary sinusotomy
Conservative treatment (antibiotics)	During exacerbation / in remission	Chronic bacterial sinusitis	Drug intolerance, liver and kidney dysfunction	allergic reactions, toxic injury, disruption of the gastrointestinal tract, lack of effect, development of resistance to treatment
Phoning (Vitafon)	In remission (reduction of symptoms)	Treatment of chronic sinusitis in remission	Malignant neoplasms, acute infectious disease

According to the National Guidelines for Otorhinolaryngology (Otorhinolaryngology: national leadership/ ed. V. T. Palchun. - M.: GEOTAR-Media, 2008.) in medicine, several main methods of treating chronic sinusitis and sinusitis are practiced, in particular:

Puncture (puncture) of the maxillary sinus;
YAMIK procedure;
Balloon sinusoplasty;
Maxillary sinusectomy (radical and endoscopic);
Conservative therapy with antibiotics.

In addition, physiotherapy methods can be used, less often hirudotherapy and acupuncture.

Most often, antibiotic therapy is used to treat chronic sinusitis. And with its inefficiency - a puncture of the sinus and its washing. A modern alternative to puncture is the YAMIK procedure and balloon sinusoplasty, which allow you to do without surgery and its associated complications. But, unfortunately, these methods are still not widespread enough and are not available in many cities.

You can see information about all modern methods of treating sinusitis.

Treatment with a puncture

In the treatment of chronic sinusitis (sinusitis) in adults, puncture treatment is often used, which in our country is considered to be the "gold standard". It is used in a serious condition of the patient, ineffectiveness of conservative therapy, severe pain in the sinus.

Contraindications for puncture are:

Exacerbation of chronic diseases;
Infections (including SARS and influenza);
Childhood;
Anomalies in the development of the sinus.

The puncture is performed after preliminary anesthesia. For the procedure, a Kulikovsky needle is used - a long metal rod hollow inside with a pointed end. It is inserted through the nose, after which a puncture is made through the wall of the sinus at a distance of about 2 centimeters. In this place, its wall is the thinnest.

The needle is immersed in the sinus by about half a centimeter and the correctness of the puncture is checked. The needle should not rest against the opposite wall of the sinus, and should be inside the cavity. After that, the maxillary sinus is washed with solutions with antiseptics, the pathological contents are removed, antimicrobials and other medicinal substances are administered.

YAMIK procedure

The Yamik procedure is performed using a special Yamik catheter, which is a system of balloons and tubes. Before the procedure, anesthesia of the inner surface of the nose is performed. They also use drugs that constrict blood vessels to remove swelling and make the communication of the sinus with the nasal passage more free.

One of the catheter balloons is located in the nasopharynx, and the second in the nasal passage. Both balloons are inflated with air, resulting in an isolated cavity. After that, using a syringe attached to the catheter, air is pumped out, creating a negative pressure. This allows you to remove pus and other contents from the sinus. After that it is filled antiseptic preparations or antibiotic solutions.

On this video you can see how one of the authors of the method - Dr. medical sciences, professor Kozlov V.S. performs the YAMIK procedure:

The YAMIK procedure is painless, does not require surgical intervention, and in most cases is well tolerated by patients. Contraindications to its implementation are polyps and other formations in the sinus cavity and hemorrhagic vasculitis. Changes in sinus pressure can damage the polyp and even cause it to rupture, and vascular diseases increase the risk of bleeding and hemorrhage.

Balloon sinusoplasty

Balloon sinusoplasty is a modern less traumatic method treatment of chronic sinusitis.

After preliminary local anesthesia under endoscopic control, a thin catheter is inserted into the maxillary sinus through a natural opening. The balloon, located on the catheter, is gently inflated, expanding the channel connecting the sinus to the nasal passage. After that, the doctor inserting a thicker catheter can remove the pathological contents and pus, rinse the sinus and dry it. Then the catheter is removed and the patient can go home the same day.

This operation is performed if conservative therapy does not work, or instead of it. The method of balloon sinusoplasty was created in 2006, and registered in Russia in 2012, and so far only a small number of medical institutions apply this procedure. The lack of devices, consumables and trained specialists still reduces the significance of this method of treating sinusitis for the population.

Radical and endoscopic maxillary sinusectomy

A maxillary sinusectomy is a minor operation during which an artificial opening is created in the maxillary sinus. It is carried out with polyps, cysts, various formations and foreign bodies that are in the maxillary sinus. Also, this method is used when more gentle methods of treating chronic sinusitis are ineffective.

In case of micromaxillary sinusectomy (endoscopic maxillary sinusectomy), a hole is created above the roots of the 4th tooth, located approximately in the middle of the sinus itself. After that, an endoscope is inserted into the resulting hole, with the help of which the surface of the sinus is examined and, depending on the results of the examination, medical manipulations are carried out. If necessary, polyps and formations that interfere with the communication of the maxillary sinus with the nasal passage are removed.

With a radical maxillary sinusectomy according to Caldwell-Luc, an incision is made through the soft tissues and bone wall sinus, located from the 2nd to the 5th tooth. This allows you to create a hole sufficient for medical manipulations.

Contraindications for the operation are blood clotting disorders, which can lead to bleeding, severe concomitant diseases, exacerbations of somatic diseases.

Conservative treatment

Those who are afraid of holding surgical interventions, the question arises, how to cure chronic sinusitis without surgery, completely.

According to the guidelines for physicians (Clinical otorhinolaryngology: A guide for physicians / V. I. Babiyak, Ya. A. Nakatis. - St. Petersburg: Hippocrates, 2005), the principles of non-surgical treatment of chronic sinusitis are:

Complete restoration of the drainage of the maxillary sinus through the opening associated with the nasal passage;
Removal of pus and other contents;
The use of medicines (antibiotics, anti-inflammatory, other drugs);
Physiotherapy;
Increasing the body's immune resistance;
Exclusion of complications.

It is essential to provide and maintain nasal breathing and avoid prolonged nasal congestion, as this leads to thickening and drying of the mucus, which in turn reduces protective function mucous membranes and, accordingly, leads to the development of infection in the sinuses and its spread further along the respiratory tract.

To maintain nasal breathing, it is necessary to provide:

regular and plentiful drinking;
air temperature in the room in the region of 18-20 C;
indoor air humidity in the range of 50-70%;
regular ventilation and wet cleaning of the room.

Antibiotic treatment

Treatment of chronic sinusitis with antibiotics is aimed at suppressing the bacterial infection. In order to choose the appropriate antibiotic that acts specifically on the microbe that caused the disease, they carry out bacteriological culture discharged from the maxillary sinus. If it is impossible to obtain material for sowing, antibiotics are selected based on the clinical picture and the experience of the doctor.

Most often, in chronic sinusitis, broad-spectrum antibiotics are used in order to act on the maximum possible number of microorganisms that could cause the disease.

Also, in chronic sinusitis, nose drops are used, which have a vasoconstrictor or anti-inflammatory effect. These include drugs containing ephedrine, dimethindene with phenylephedrine, xylometazoline, naphazoline and others (Otorhinolaryngology: national guidelines / edited by V.T. Palchun. - M .: GEOTAR-Media, 2008.).

It should be remembered that a specific antibiotic for the treatment of chronic sinusitis can only be selected by a doctor, since in each patient inflammation is caused by its own microorganisms that have a certain sensitivity and resistance to various antimicrobial drugs. Only a doctor can choose the correct duration of the course and the dose of the antibiotic.

If a course of antibiotic therapy has begun, in no case should you stop it as soon as you feel better. In the middle of the course of treatment of chronic sinusitis, the number of bacteria decreases sharply, and only those of them that are more resistant to this antibiotic survive. If the treatment is stopped, it is these bacteria that will multiply again, causing a new exacerbation. And at the same time, antibiotic resistance will be passed on to the next generation of microbes, and it will be very difficult to find an effective treatment.

Those who ask if antibiotics can cure chronic sinusitis should remember that although they kill bacteria, they do not cleanse the tissue of the effects of fighting the disease (damaged cells and toxins). The applied broad-spectrum antibiotics, getting into the blood and accumulating in the tissues, affect the entire body. It is enough to read about the contraindications and side effects of their use, and then much will become clear. Therefore, the long-term result of the use of chemicals is unpredictable.

A surgical operation - a puncture or, in other words, a puncture, as well as washing with antiseptics, cleans the sinuses and the surface of the mucous membranes, but not the adjacent tissue of the sinuses and nose itself. Also, during puncture, the bone septum is pierced, and this is also damage and cell death, which must be properly and quickly disposed of.

If painkillers are used during treatment, this can lead to a partial disruption of the innervation of the nerve pathways and the brain will not receive signals from the problem area, which can lead to a weakening of the immune response, and, accordingly, the necessary cleaning of the pathology area.

The use of vasoconstrictor drugs violates the self-regulation of blood supply, which leads to a deterioration in cell nutrition and a decrease in the effectiveness of immune responses.

The goal pursued with the use of such drugs is good - to reduce swelling and ensure the flow of oxygen into the nasal passages, since oxygen kills anaerobic pathogenic bacteria. But as a result, the disease only gets worse. Medical withdrawal edema is a deterioration in the process of utilization of damaged cells. Therefore, such drugs are not recommended to be taken for more than 3-5 days, since then negative systemic reactions of the body (for example, addiction) begin to develop, the elimination of which will also require appropriate difficult treatment.

As a result, our modern medicine and pharmacology is largely focused on the rapid disposal of unpleasant symptoms diseases, removing the threat to life, and not to eliminate underlying causes diseases and long-term health promotion.

The question remains, is it possible to cure chronic sinusitis forever?

How and how to treat chronic sinusitis in adults is still a controversial issue. Currently, despite the rich arsenal of drugs, the prescription of drugs in most cases is a "trial and error" method, since there is no integrated approach. According to the fair statement of V. S. Agapov and his co-authors (Infectious inflammatory diseases maxillofacial area/ Ed. Agapova V. S., Artyunova S. D., Shulakova V. V. - M .: MIA, 2004), chemotherapy drugs and antibiotics are included in the metabolism in the body, which often leads to allergic and toxic reactions. And as a result - to the development of violations of the body's natural defenses.

No matter what surgical method cleans the sinuses, no matter what antibiotics kill pathogenic bacteria, all the same, damaged and dead cells will remain in the adjacent tissues of the sinus - the results of the body's fight against infection.

These problems encourage scientists and physicians to search for new methods of treatment of chronic sinusitis and other diseases of the upper respiratory tract. One of these methods includes physiotherapy, namely the method of phonation (impact by the medical apparatus "Vitafon").

How to completely cure sinusitis without surgery at home?

Most diseases occur due to the fact that the body's own immunity can not cope with the load. Therefore, the treatment of chronic sinusitis at home should be primarily aimed at restoring the general and local immunity and resources of the organism itself.

You can read more about ways to increase immunity in the article "", including at home. And this article will discuss in more detail how to treat chronic sinusitis and sinusitis at home without resorting to surgery.

Treatment at home by phonation

The "engine" of immune and metabolic processes, as well as the transport of substances in the human body is.

The work of the muscles does not always provide the body with the necessary level of microvibration, sufficient for the complete cleaning of tissues and organs from damaged cells and their metabolic products. Such a deficiency is the cause of a decrease in immunity, since immunity is the degree of purity of tissues and cell health.

As a result of a decrease in immunity and a deficiency of microvibrations, there are and progress various diseases, including sinusitis. Due to reduced immunity, microbes cause inflammation and swelling in the maxillary sinuses. Purulent contents, dead body cells and dead bacteria due to microvibration deficiency and swelling of the sinus opening cannot be removed from it. As a result, inflammation passes into a sluggish chronic form with periodic exacerbations.

Medicines and even operations do not always completely get rid of the disease, if not eliminated real reasons Problems. A natural question arises, how to cure chronic sinusitis forever, at home, without resorting to extreme measures.

There are two main ways to restore microvibration.

Changing lifestyle towards increasing the amount of movement and physical work muscles.
External source of microvibration.

Now, having such an apparatus, it is possible to significantly replenish the missing microvibration in the body, including in problem areas.

Accordingly, acting on the maxillary sinuses (problem area), kidneys and liver (stimulation of general immunity), you can help the body to quickly cure chronic sinusitis without antibiotics and operations. Strengthening blood and lymph flow with the help of Vitafon, increasing the penetration of immune cells into the area of pathology, the quantity and quality of contacts of these cells with dead cells and microbes helps to clean the problem area and, accordingly, restore it.

Significant assistance in cleansing the body can be provided by regular adherence to a therapeutic protein-free diet, as it allows you to unload and create reserves of the lymphatic system, which in turn is responsible for many immune processes.

For those who prefer folk methods treatment, we suggest that you familiarize yourself with effective folk remedies for the prevention of the disease and the "pitfalls" of self-treatment of sinusitis in the following article.

Conclusion

Chronic sinusitis is a disease that requires a thoughtful approach and rational treatment. Possibilities modern medicine allow in many cases to avoid surgery and use more gentle methods of treatment.

A conscious approach to drug therapy without the abuse of antibiotics, taking care of your own health and using modern methods of vitrification with the Vitafon apparatus for treatment and prevention can allow you to get rid of chronic sinusitis forever.

You can ask questions (below) on the topic of the article and we will try to answer them competently!

Chronic sinusitis is a long-term inflammatory process of the maxillary sinus, which, depending on the form and stage, manifests itself in a variety of clinics. Statistics show that the proportion of chronic sinusitis in adults among all nasal pathologies reaches 50%. It is diagnosed equally often in both men and women in all age categories. In Russia, there are 12 cases of the disease per 100 inhabitants. In Europe, this figure is half that - 6 people out of 100 get sick.

In addition, chronic sinusitis is often referred to as rhinosinusitis. The disease interferes with normal nasal patency due to the large secretion of mucus, it is extremely difficult to breathe through the nose, the face may be swollen. Throbbing headaches are often noted.

The main causes of the chronic form

Inflammation of the maxillary sinus occurs due to the effect of an infection, an allergen on the mucous membrane. If the disease is not completely cured, it is protracted, then sinusitis becomes chronic. In adults, it is most often caused bacterial infection, the cause of the disease is infection with Streptococcus pneumonia, Haemophilus influenza. The cause of sinusitis can be viruses, anaerobic bacteria, yeast-like, mold fungi.

Contribute to the onset of the pathological process in the sinus, impaired nasal breathing due to congenital or acquired anatomical defects (for example, curvature of the nasal septum, polyps).

Key risk factors causing chronic course diseases:

Previously transferred acute form of sinusitis, which was not treated;
protracted infections of the nasopharyngeal region -, etc .;
a disease or deficiency that disrupts the outflow of mucus, for example, a deviated nasal septum;
cysts, polyps in the maxillary sinus;
diseases of the upper teeth;
interventions in the area of the upper jaw;
bad habits - smoking, alcohol abuse;
prone to allergic reactions.

The main forms of chronic sinusitis are:

edematous-catarrhal;
purulent;
polyposis;
mixed (purulent-polypous).

Since the lower wall of the maxillary sinuses is very thin, the infection can get into them from the oral cavity (for example, from teeth affected by caries, inflamed gums, etc.) - in this case, the disease is called chronic odontogenic sinusitis.

Regardless of what caused the development of the disease and no matter what subspecies it belongs to, chronic sinusitis can be either unilateral or affect both sinuses.

Symptoms of chronic sinusitis

Chronic sinusitis in adults can last for years, worsening with a decrease in the patient's immunity, adverse external conditions. The exacerbation of the chronic form proceeds in the same way as acute sinusitis. The patient is concerned about the following symptoms:

headache;
nasal discharge;
temperature increase;
sinus pain and nasal congestion;
violation of nasal breathing;
purulent discharge from the nose, yellow or greenish, with an unpleasant odor.

Chronic sinusitis proceeds in waves: remission is replaced by exacerbation. Exacerbation is accompanied by more pronounced manifestation symptoms:

The temperature rises to 37.5 about C;
the patient feels chills and general malaise;
sneezing appears;
the pain becomes more expressive, especially when a person tilts his head, coughs and sneezes, she gives it to the teeth and the root of the nose.

Provokes exacerbation: hypothermia, high humidity, colds, allergic reaction, runny nose, flu.

During the period of remission (the period of absence of symptoms of the disease), various symptoms can be observed, less pronounced, inconsistent:

nasal congestion;
persistent runny nose, not amenable to treatment, periodic purulent discharge;
flow of mucus back wall pharynx (feeling that mucus is draining from the nasopharynx, a constant desire to swallow, sometimes there is a feeling of a lump of mucus in the throat that cannot be swallowed);
headaches, mainly in the eye sockets. The pains become more intense during blinking, and in the supine position they disappear;
heaviness in the face, cheeks, feeling of pressure, fullness;
a characteristic symptom - in the morning there may be swelling of the eyelids;
(inflammation of the mucous membrane of the eye, accompanied by tearing, sensation foreign body In eyes);
nasality;
due to a violation of nasal breathing, the patient's sense of smell is significantly worsened .;
lacrimation.

The nature of nasal discharge also depends on the form of the inflammatory process and the degree of damage to the maxillary sinuses. Chronic purulent sinusitis characterized by the discharge of mucus from the nose with an admixture of pus, which has a very bad smell. In the catarrhal form of the inflammatory process, discharge from the nose is viscous and mucous.

In addition to specific complaints, patients are concerned about unmotivated weakness, disturbed sleep and wakefulness, decreased performance, and irritability.

Possible complications and health consequences

It should be understood that any form of sinusitis, and, in particular, purulent, can cause quite serious complications. This is due to the location of the infection, and the close proximity of the maxillary sinuses to the brain. That is why competent and qualified treatment of the disease is necessary, both during the period of exacerbation and during remission.

Chronic sinusitis can have the following complications:

inflammation of the membranes of the brain;
brain abscess;
purulent inflammation of the soft tissues of the orbit;

Diagnostics

The main method for diagnosing chronic sinusitis is fluoroscopic examination. The radiograph allows you to confirm the inflammatory process in the sinus, to detect cysts, polyps in the maxillary cavity. Accurate data on the degree of pathology allows you to get the method of computed tomography.

You need to see a doctor if:

A person has been ill several times, but still cannot cure him;
There are symptoms of sinusitis, the duration of which is more than a week;
Symptoms do not go away with proper treatment.

To exclude the risk of complications and the transition of ENT diseases into a chronic form, it is important to diagnose them in a timely manner.

Treatment of chronic sinusitis in adults

Chronic sinusitis is a long-term inflammatory process of the maxillary sinus, which, depending on the form and stage, manifests itself in a variety of clinics. The danger lies in the fact that in the absence of treatment and erased signs, the disease causes constant intoxication of the body.

Conservative treatment includes wide range events. They are carried out both during the period of exacerbation and during remission.

The key principles of treatment of chronic forms of sinusitis are:

The choice of antibiotic, strictly taking into account the sensitivity of the pathogen;
Exacerbation of sinusitis is treated in the same way as the acute form;
In adults, the treatment of chronic sinusitis in remission is carried out conservatively (washing the sinus, physiotherapy, mucolytics, antihistamine and restorative therapy);
If necessary, corrective operations are performed to restore sinus aeration and normal nasal breathing: septoplasty, removal, conchotomy, polypotomy, etc .;
In the absence of a positive effect from conservative therapy and the development of complications, chronic sinusitis is subject to full surgical treatment.

Antibiotics for chronic sinusitis

Antibiotics for sinusitis, which occurs in a chronic form, are used in case of prolonged, incessant runny nose, fever, fever, general malaise and pain in various parts persons who may be permanent or appear sporadically. In such cases, the treatment of the chronic form requires a special approach, according to the specific symptoms of the disease.

Basically, doctors prescribe the following antibiotics to patients:

amoxicillin,
augmentin,
Ampiox,
doxycycline,
trimethoprim-sulfamethoxazole,
tsifran,
macrofoam,
Gramox (Flemoxin Solutab),
ceftriaxone,
Cefazolin.

The best result is achieved when using new generation antibacterial agents - Augmetin, 3rd generation Cephalosproin, Azithromycin, Bioparox, etc.

Systemic antibiotic therapy is necessary for moderate to severe severe forms, as well as when establishing the streptococcal nature of the inflammatory process. The course of treatment is strictly individual in each case.

Vasoconstrictor drops

In chronic sinusitis, adults are prescribed mild vasoconstrictor drops - naphazoline, oxymetazoline. They do not dry out the mucous membrane, they can be used for a week, like other medicines, under the supervision of a doctor.

Vasoconstrictors - Xylometazoline, "", "Rinonorm", "Xymelin", "Rinorus", "Rinotaiss", "Tizin".
Drops with antibiotics - "Isofra", "Polydex", "Sofradex", "Garazon", "Vibrocil".

Physiotherapy

During exacerbation, physiotherapy methods are aimed at stabilizing the patient's condition, during remission - at stopping (suppressing) the syndrome. Physiotherapy is prescribed when the contents of the maxillary sinus are freely separated.

Apply:

Sollux - phototherapy procedure;
diathermy - a method of electrotherapy;
ultrahigh frequency currents;
inhalation.

Washing the sinuses

Nasal lavage can be carried out both independently and in the office of an otolaryngologist. It depends on the severity of the disease. To achieve this goal, both antiseptics and saline solutions are used.

To wash out the pus from the sinuses and destroy pathogenic bacteria in them, a course of washing the cavities with disinfectant solutions (Dioxidin, Furacilin) is carried out, followed by the introduction of antibiotics and enzyme preparations, such as Lidaza, into them.

Flushing according to Proetz, popularly referred to as the "cuckoo", involves the movement of liquid under the influence of a vacuum. Using a catheter, a solution with an antiseptic is poured into one nostril, and a liquid with pus is drained from the other nostril by an electric suction.

If washing is done independently, at home. First of all, you need to make sure that sterile, distilled, pre-boiled water is used to prepare the solution, which must be pre-cooled and filtered using a filter with pores of 1 micron or less.

In addition, be sure to clean the rinsing devices after each use with sterile and distilled water, leaving it open to dry afterwards.

Puncture of the maxillary sinus

Puncture for chronic sinusitis is done under local anesthesia. For this, lidocaine is used. They are moistened with tampons and deeply injected into the nasal passage. The puncture is made with a very sharp needle after freezing. The patient does not feel any pain.

If you do not start the disease, you can get by with one puncture, and there are many examples of this. And if you come to the doctor on the most early stage sinusitis, treatment may well be limited to prescribing drugs and washing the nose.

In some cases, when chronic sinusitis is severe, the patient is recommended an operation - sinus otomy, during which the surgeon opens the affected sinus and sanitizes it.

In uncomplicated chronic sinusitis, the prognosis depends on the individual characteristics of the organism, the viability of the immune response; generally favorable. The prognosis worsens with the addition of complications, the absence of the effect of ongoing conservative therapy.

How to cure chronic sinusitis folk remedies?

According to statistics, complex treatment contributes to a speedy recovery. Simultaneous reception medicines and the use of folk recipes will help get rid of chronic sinusitis in less time.

You should know that without first consulting a doctor, folk recipes are not only useless, but also dangerous to health!

Cyclamen root. It contains saponins - substances that cause an increase in mucus secretion, as a result of which tissue swelling disappears. To prepare drops with cyclamen juice, the root of the plant is rubbed on a grater and squeezed through gauze. The resulting liquid is diluted with a solution of furacilin 1 to 4 and one drop is instilled into the nostril from which inflammation is observed. The procedure is repeated three times a day for a week. Contraindications are pregnancy and lactation.
Honey streak. This bee product is extremely effective against bacterial and inflammatory disease nasopharynx. And its application is simple - you just need to chew one tablespoon of zabrus six times a day. Tasty and healthy!
To relieve puffiness at home, you can use decoctions of St. John's wort, propolis, Kalanchoe, eucalyptus drops and other medicinal plants.
For this method of treatment, it is desirable to choose a wild chestnut. It should be soaked for several hours and, when it becomes soft, peel. From the white core, you need to scrape off the chips and gently insert them into both nostrils. You can also make small candles from chestnut and insert them into your nose like turundas. Apply chestnut should be within a week.
Washing the maxillary sinus is an integral step in the treatment of chronic sinusitis at home. Sea salt is best for rinsing, which makes the water softer. Sea salt also provides an antiseptic effect, which is especially valuable at an early stage in the development of the disease. In order to properly carry out the washing procedure, it is necessary to prepare a solution of sea salt. For two glasses warm water(approximately 40-42 degrees) it is recommended to put one teaspoon of sea salt.
Tui oil perfectly copes with many ailments, including sinusitis. It is made from the cones and needles themselves. This tool has an excellent antibacterial effect, is a good prevention against infectious diseases, strengthens the immune system.
Sea buckthorn oil or rosehip oil will soothe the mucous membrane if you drip 2 drops into each nostril up to three times a day.

Prevention

Prevention of chronic sinusitis for adults is reduced to the following activities:

Timely treatment of diseases of the nasal cavity and organs of the respiratory system.
An important factor is the rehabilitation of foci of chronic infection - carious teeth, chronic tonsillitis and others.
Treat colds under medical supervision. Complete the therapy course. If it is said that antibiotics should be drunk for 2 weeks, then they should not be stopped, even if on day 3 they felt significant relief.
Use a humidifier. If the air in your home is dry enough, then there are certain risks of sinusitis. Therefore, it is recommended to use a humidifier. Do not forget to clean the appliance regularly, removing accumulated dirt and mold.

The best way to prevent is to prevent colds. This requires timely detection and competent, influenza.

Chronic sinusitis how to get rid of. Chronic sinusitis can be cured with a folk remedy that helps many

Reasons for development

Symptoms of chronic sinusitis depending on the form

Symptoms of a purulent form

Symptoms of the odontogenic (tooth) form

Symptoms of the fungal form

Symptoms of an allergic form

Chronic sinusitis in children and the behavior of parents

Diagnostics

Treatment of various forms of chronic sinusitis

Treatment of a purulent form

Treatment of the odontogenic (tooth) form

Treatment of the allergic form

Radical maxillary sinusectomy (surgery)

Folk methods of treatment

Preventive actions

Is it possible to cure sinusitis forever at home?

Causes of the disease

First signs and symptoms

Diagnostics

How to treat at home

Folk recipes

Medications

Consequences and complications

Video

Sinusitis and its consequences

Treatment methods for sinusitis

The use of medicinal drugs

The use of physiotherapy

Symptoms

Development mechanism

Classification of chronic sinusitis

Complications of chronic sinusitis

Diagnostics

How to cure sinusitis

In the hospital

Ambulatory treatment

Medical therapy

Folk methods

sea ​​salt therapy

Celandine in the fight against disease

Thuja oil for the treatment of sinusitis

Treatment with honey and soda

Therapy with cyclamen juice

Propolis treatment

Kalanchoe therapy

Treatment with horseradish and lemon juice

Prevention

Conclusion

What is dangerous sinusitis in advanced form?

Causes of the disease or why does acute sinusitis become chronic?

Symptoms and signs

Exacerbation of chronic sinusitis

How to treat and cure chronic sinusitis (sinusitis)?

Comparison of different treatments

Treatment with a puncture

YAMIK procedure

Balloon sinusoplasty

Radical and endoscopic maxillary sinusectomy

Conservative treatment

Antibiotic treatment

The question remains, is it possible to cure chronic sinusitis forever?

How to completely cure sinusitis without surgery at home?

Treatment at home by phonation

Conclusion

The main causes of the chronic form

Symptoms of chronic sinusitis

Possible complications and health consequences

Diagnostics

Treatment of chronic sinusitis in adults

Antibiotics for chronic sinusitis

Vasoconstrictor drops

Physiotherapy

Washing the sinuses

Puncture of the maxillary sinus

How to cure chronic sinusitis folk remedies?

Prevention

sea salt therapy