Sinusitis Treatment And The management Of Sinusitis (sinus headache)

Sinusitis is caused by infection of one or more of the cranial (skull) sinuses. These are the bony inner structures of the skull. Acute sinusitis last for days up to three weeks. The International Headache Society's criterion of purulent discharge and acute febrile illness is indicative of acute sinusitis. The site of the pain varies according to the location of the infection.

Maxillary sinusitis pain is mostly in the cheek, gums, teeth and upper jaw. When pain is presented between and around the eyes this is referred to as ethmoidal sinusitis. Frontal sinusitis pain is seen in the forehead and sphenoidal sinusitis presents with pain at the crown of the head. The pain often has a a dull aching quality which is worsened by bending. Very rarely complications can occur such as meningitis or abscesses.

MANAGEMENT of Sinusitis (sinus headache):

Skull X-ray, computed tomography (CT) and magnetic resonance imaging (MRI) are sometimes used. A broad spectrum antibiotic and steam inhalation is the first call. Locally acting vasoconstrictors produce relief by shrinking inflamed nasal mucosa for the first 72 hours. Beyond this, oral decongestants like pseudoephidrine are used. Antihistamines do not have a role in the treatment of acute sinusitis. OTC pain analgesics can help patients sleep but the underlying causes should be treated. All cases should be assessed by a physician.

Source: Dr Andrew Dowson

Publication Date: July 2003

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