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Conditions

ENT · Ear, nose and throat

Sinusitis

Understand sinus inflammation, its duration and when ENT assessment is needed.

Editorial publication · Medical review pending.

Understand

Sinusitis is inflammation of the sinus lining that obstructs mucus drainage into the nose.

Possible symptoms

Facial pain or pressure, blocked or runny nose, coloured mucus, reduced smell, fever, cough or toothache may occur.

Causes and associated factors

It often follows a viral infection; allergy, polyps or anatomy can favour prolonged disease.

Diagnosis

Symptoms and nasal examination are often enough; duration and one-sided symptoms guide referral.

Tests

Nasal endoscopy, CT or allergy tests are reserved for chronic, recurrent or atypical cases or surgery planning.

Course of the condition

Acute sinusitis often clears within four weeks; symptoms beyond twelve weeks are considered chronic.

Care options

Rest, fluids, saline rinses and pain relief help; nasal steroids, allergy treatment, rare antibiotics or surgery depend on the case.

When to consult

Seek advice if symptoms persist over three weeks, recur, continue despite treatment or remain one-sided.

Urgent help

Severe illness, increasing pain, swelling around an eye, visual change, neck stiffness or neurological symptoms need urgent help.

Questions for your doctor

  • How will the cause of my symptoms be confirmed?
  • Which hearing, nose, throat or balance tests are useful?
  • Which options, limits and complications should we compare?
  • What follow-up should be arranged?
  • Which signs require urgent assessment?

Continue reading

A procedure linked to a condition does not establish an indication for your individual situation.

Sources