Sinusitis (sinusitis)

Persistent cold, obstruction of nasal breathing, localized pressure and tapping pain in the cheek, forehead and eye area as well as increased secretions in the nose and throat are possible signs of sinusitis (sinusitis). Read more about the causes, symptoms and treatment of sinusitis here.

What is a sinusitis?

Sinusitis (sinusitis) is an inflammatory process in the nasal sinuses (sinus paranasales). The paranasal sinuses are air-filled cavities in the adjacent bones of the nose. A distinction is made between the frontal sinus (sinus frontalis), the maxillary sinuses (sinus maxillares), the sphenoid sinus (sinus sphenoidalis), and the ethmoid sinus (ethmoid sinus) cells, which are part of the posterior nasal cavity.

The paranasal sinuses are lined with the same mucous membrane as the nasal cavity (Cavitas nasi). Through fine openings on the lateral and posterior wall of the nasal cavity they are in constant communication. In the caves, the inhaled air is warmed up and moistened and then reaches the lower respiratory tract.

Sinusitis is one of the most common diseases ever. After the course, a distinction is made between an acute and a chronic form. The acute sinusitis usually runs in the context of a general respiratory tract infection.

Causes of sinusitis

Not all people have the same frequency of sinusitis. Among other things, it occurs more often in anatomically-related bottlenecks, especially in the area of ​​the sinus openings, in tooth inflammation and allergies. Acute sinusitis is often caused by viruses and a secondary secondary bacterial infection. The symptoms can vary greatly from patient to patient.

In inflammation, the mucous membrane secretes and swells. As a result, the openings can be closed to the nose. The cavity is no longer ventilated and the secretion can no longer flow away, resulting in a painful pressure with headache. Most of the maxillary sinus and ethmoidal cells are affected, more rarely the frontal sinus and the sphenoid sinus. As a rule, the signs of disease are more pronounced in acute sinusitis than in chronic sinusitis.

Symptoms of acute sinusitis

The guiding symptoms of acute sinusitis are:

  • Fever (can rise up to 40 degrees Celsius)
  • Cold, which can become purulent
  • to cough
  • severe headache in various places (for example, temples, eyes, cheeks) and depending on the affected cave possible (especially in the first half of the day and reinforced when stooping)
  • Schleimeiterstraße at the back wall of the pharynx
  • red and swollen eyelids (suggest inflammation)
  • Tapping pain over the maxillary and frontal sinuses

Symptoms of chronic sinusitis

Typical signs of chronic sinusitis are:

  • Disabled nasal breathing with mucous secretions
  • slight pressure over the affected cave
  • The tapping of the maxillary and frontal sinuses is painful
  • Headache and sore throat
  • Odor and taste disorder

Chronic sinusitis often affects the maxillary sinus and ethmoid cell system. The symptoms are usually not as pronounced in chronic sinusitis as in the acute form, but do not completely stop for a long time. Sinusitis is often associated with chronic bronchitis. This is called sinubronchitis. In both cases both have to be dealt with.

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