Chronic sinusitis

CHRONIC SINUSITIS

Chronic sinusitis is a chronic inflammation of the lining of the nose and sinuses. It is common to have the following signs: stuffy nose, loss of smell ( anosmia ) , running nose, headache, sneezing. Chronic sinusitis are called «  localized » or « diffuse »

 

LOCALIZED CHRONIC SINUSITIS

Localized sinusitis are related to the presence of an infectious cause (often dental ) or related to abnormal sinus drainage. An ENT consultation is essential in this case. After treatment of a possible source of infection, surgical intervention is usualy necessary.

Sinusite chronique dentaire

Dental chronic sinusitis 

Sinusite chronique aspergillaire

Fungal chronic sinusitis

 

DIFFUSE NON PURULENT CHRONIC SINUSITIS

Diffuse sinusitis is caused by a pathology of all of the nasal and sinusal mucosa. The most common cause is called ” sinonasal polyposis”.  This disease is marked by the predominance of loss of smell and is often associated with asthma and aspirin intolerance, called ” Widal syndrome .”

The nasal polyposis is a benign disease of unknown origin, which can be invalidating. The basic treatment is the combination of saline nasal washing and local application of cortisone, and for at least 3 months. Intervention is only available if the gene significantly, while a local treatment has been followed and especially if asthma is associated. This operation corresponds to removal of polyps and a main sinus opening , allowing a better postoperatively diffusion of local treatment. It is absolutely essential to continue the topical treatment a long time after surgery to decrease the risk of polyps recurrence.

DIFFUSE PURULENT CHRONIC SINUSITIS

 

Diffuse purulent chronic sinusitis are linked to chronic sinus infection and are marked by a extended purulent discharge. Smell is often preserved in this case. The treatment is usualy medical and surgery is rarely proposed.