Chronic Sinusitis

Chronic sinusitis is a long-term inflammation of the sinuses that can cause persistent congestion, facial pressure, and breathing difficulties lasting for months or longer.

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Understanding Chronic Sinusitis and Long-Term Sinus Inflammation

While sinus infections are a common problem many experience at some point in their lives, chronic sinusitis differs. Defined by chronic inflammation of the sinuses, chronic sinusitis can last up to three months for some and linger for years for others. Here's everything you need to know about chronic sinusitis, getting diagnosed by a board-certified ENT physician, and the proper treatment options for you.

What is Chronic Sinusitis?

Affecting approximately 12% of all U.S. adults, chronic sinusitis is swelling or inflammation of the tissues that line the sinuses for 12 weeks or more. Chronic sinusitis is a common medical condition caused by bacteria—primarily anaerobic, gram-negative bacteria such as Staphylococcus aureus—or fungi, accounting for nearly 2.7 million doctor visits each year.

What are the Causes of Chronic Sinusitis?

While acute sinusitis is caused by viral infections, chronic sinusitis is caused by infection with fungi or gram-negative bacteria. In addition, you may be at a higher risk for developing chronic sinusitis if the following also occur:

Allergic rhinitis
Cystic fibrosis
Change in altitude
Smoking
Weakened immune system
Abnormal sinus passages
Deviated septum
Nasal polyps
The common cold, as well as recurrent viral infections

Chronic sinusitis is more common in adults but can also occur in children. The exact cause of chronic sinusitis is often difficult to determine. However, it is often due to a combination of factors.

What are the Symptoms of Chronic Sinusitis?

The symptoms of chronic sinusitis can vary, but they often include:

Facial pain or pressure
Congestion
Nasal obstruction
Difficulty breathing through the nose
Decreased sense of smell
Thick, yellow, or green discharge from the nose
Headache
Fatigue
Fever
Discolored postnasal discharge
Bad breath
Toothache

How is Chronic Sinusitis Diagnosed?

A thorough physical examination by a board-certified ENT physician is integral to accurately diagnosing chronic sinusitis. During your exam, your doctor may observe the inside of your nasal passages to look for signs of polyps or nasal obstructions and signs of inflammation in your nasal passages. They may even tap over the areas of your sinus on your face to check for signs of swelling and pain, and to locate an infection.

In addition, your doctor may also do the following:

CT scan of your sinuses
MRI of the sinuses—in the case of a nasal obstruction or fungal infection
Nasal endoscopy
Nasal culture—in the case of bacterial or fungal infections
Allergy testing
Blood tests
Ciliary function test

Is Treatment for Chronic Sinusitis Right for You?

If you've been experiencing symptoms of sinusitis for three months or more, you should see a certified doctor.
In addition to accurately diagnosing your condition and determining its cause, you'll be able to get an individualized treatment plan for you and your symptoms.

Chronic Sinusitis Treatments are Safe When Performed by a Board-Certified ENT Doctor

Chronic sinusitis may be challenging to treat, but several options are available. The most important thing is to see a doctor if you think you might have chronic sinusitis. Your doctor can help determine the cause of your chronic sinusitis and recommend the best treatment. Treatment options for chronic sinusitis include:

Medications such as nasal corticosteroids, antibiotics, or antihistamines: Depending on the cause of your chronic sinusitis, this can reduce swelling and pain and treat the infection's root cause.
Sinus Dilation: If medicines do not work, your ENT may recommend a 60-minute in-office dilation to open the sinuses' natural drainage pathways.
Surgery: Sometimes, surgery is necessary to remove nose blockages or repair structural problems. The most common surgical procedure is endoscopic sinus surgery.

Chronic sinusitis can be a complex condition to live with, but the good news is that treatment options are available. With the help of a doctor, you can find the best treatment for your situation. With proper treatment, chronic sinusitis does not have to control your life.

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