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Sinusitis - chronic

Overview Symptoms Treatment Prevention

Alternative Names:

Chronic sinus infection; Chronic sinusitis

Treatment:

The goals of treatment are the cure of the infection and the relief of symptoms.

Antibiotics may be given if the infection is bacterial; treatment is usually prolonged (3-4 weeks). Oral decongestants are sometimes used. Over-the-counter analgesics may be used to control pain.

Topical steroids in the form of a nose spray may be helpful in chronic sinusitis related to allergy. Surgery to clean and drain the sinuses may be necessary. Repair of a deviated septum or nasal obstruction may prevent recurrence of chronic sinusitis.

Expectations (prognosis):

Chronic sinus infections are usually curable but may require extended treatment. They tend to recur, particularly if underlying conditions such as nasal obstructions are not corrected.

Complications:

recurrence of chronic sinusitis
spread of infection into the bones of the face (osteomyelitis)
spread of infection into the brain (meningitis)
abscess formation, including (rarely) brain abscess

Calling your health care provider:

Call for an appointment with your health care provider if symptoms indicate chronic sinusitis.

Call for an appointment with your health care provider if acute sinusitis symptoms do not improve with treatment.