Sinusitis (sinusitis) - diagnosis and treatment

Sinusitis: diagnosis

Common diagnostic procedures for sinusitis include rupture of the paranasal sinuses and examination of the inside of the nose for inflammatory mucosal swelling or pus. A closer look at the excretory ducts can be achieved with magnifying glass instruments.

For special questions, further examination methods are used, such as an ultrasound examination of the sinuses or a measurement of inflammatory values ​​in the blood. For complications and before surgery, a computed tomogram of the sinuses is performed.

Treatment of acute sinusitis

Since in a runny nose, the swelling of the mucosa in the nose causes the laying of the paranasal sinus access, first of all a swelling of the mucous membrane must be achieved. Frequently, local heat treatment such as steam inhalation or red light is used.

On the other hand, decongestants in the form of nasal drops or dragees are very suitable. Among other things, a combination of herbal active ingredients (cowslip, sorrel, gentian, vervain, elderflower), which has an expectorant, anti-inflammatory and viral-inactivating effect, has proven itself. For severe pain, the administration of a suitable painkiller is useful.

The course of purulent sinusitis can be positively influenced by proper antibiotic therapy.

Treatment of chronic sinusitis

The cause and extent of chronic sinusitis can be determined, for example, by means of a computerized tomogram. For lighter forms, suitable cortisone preparations may be used for drug therapy, the use of which necessarily requires medical supervision.

In principle, the indication for surgery is only made if conservative (non-operative) therapy fails. In a surgery of chronic sinusitis anatomical bottlenecks (enlargement of the openings of the paranasal sinus to the nose) are eliminated and pathologically altered mucous membrane is removed.

In any case, in the case of always recurring acute sinusitis as well as in chronic sinusitis, the fight against causes is in the foreground. For example, an unrecognized allergy can be identified and treated via allergy diagnostics. Disadvantageous anatomical conditions can be eliminated surgically targeted.


Sinusitis can cause complications. The bony sinus wall can also inflame and break through. As a result, the inflammation can spread to the surrounding organs. This can lead to purulent meningitis (purulent meningitis). If the inflammatory process spreads to the eye socket, eyelid edema occurs and later on the protrusion of the eyeball (Protrusio bulbi). Vision disorders often require immediate surgery of the causal sinus.

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