12 methods to prevent sinusitis

Symptoms of sinusitis are:
- Symptoms of colds do not respond to treatment;
- Fever ranging between 38-39 degrees Celsius;
- Headache;
- Tiredness and slimming;
- Toothache;
- Headache localized primarily in the frontal area becomes very sensitive even to a simple touch;
- A chronic cough, especially during night;
- Nasal congestion;
- nasal discharge;
- Bad breath;
- Swelling of the eyelids.
- Sensitive eyes to light;

Methods to prevent sinusitis: 
Treat allergies and colds - nasal inflammation caused by allergies or colds various, predisposing patients to have a strong reaction to all irritants agents.
Attention to the humidity in the house! - Your sinuses drain better when the air is moist. Do not hesitate to use the air conditioner to adjust the temperature in the house.
Uses filters - electrostatic filters sparing allergens agents from the air.
Avoid pollution - exposure in polluted environments can irritate the nasal cavities and aggravates sinusitis.
Quit smoking - Smoking is one of the most common causes for irritation of the sinuses, preventing proper operation of the mucous drainage and causing the appearance of nasal congestion.
Eliminate alcohol consumption - Even occasional use of alcohol cause swelling in the sinus membrane, exposing them to irritations and infections. Of all alcoholic drinks it seems that beer affects the worst sinuses.
Drink a lot of water - water influences the degree of humidity of the body and help prevent nasal congestion.
Avoid swimming - water in pools and swimming pool is often treated with a large amount of chlorine, a substance that irritates the sinuses, especially if you're a person prone to allergies.
Watch the daily hygiene - bacterial and viral infections are the most common cause of sinusitis production. Make sure you wash your hands frequently with water and soap.
Reduces consumption of dairy products - An excessive consumption of milk cause mucosal thickening and narrowing of the nasal passages, enhancing the occurrence of headaches.
Do not forget the hot showers! - to do as often as possible many a hot shower and inhale the vapors. Doing so you will moisten the neck, allowing the nasal cavity to have adequate drainage.
Beware of extreme temperatures - very low or very high temperatures as well as sudden temperature changes cause severe headache and of teeth.

Eat healthy - try to eat as many fruits and vegetables, avoid very cold drinks, remove from your food program , drinks containing caffeine (coffee, cola, green tea), when you drink your tea try to sweeten it with honey and not forget the lemon slices.

Plants that relieves pain of sinusitis

If the drugs come with a prospectus which lists the adverse effects and secondary, nature comes with plants that in the form of teas and infusion helps the body to recover. High consumption of fluids maintain mucus diluted, thus avoiding mucosal swelling. And what fluids are better, than teas conceived from natural plant extracts?
Of these teas can we remind: chamomile tea, rosemary tea, yarrow tea, pansy tea, elderberry tea .
They have been shown to be effective in the treatment of bronchitis, cold, cough, and respiratory disorders. Elderflower has properties laxative, helps to remove water from tissues and is used as a natural medicine in treating obesity.
In treating sinusitis, are especially effective and inhalations with essential oils. They are recommended for respiratory diseases such as colds, flu, cough, bronchitis or sinusitis. The inhalations have a nasal decongestant effect and bronchial.

5 Medicinal teas that treats sinusitis

Chamomile tea shows the anti-inflammatory , antifungal, calming and healing properties.
To treat sinusitis is recommended to make inhalations of chamomile tea. You need a wide mouth container with where you put 2 liters of hot water.
Add 10 envelopes of chamomile tea or a handful of dried herb. Place your container with a towel over your head so you get a tent,  that the vapors of chamomile tea do not disperse throughout the room, but to them you inhale.
Take a 15-minute inhalations every night for a month.

Inhalations with shock tea
This tea stimulates circulation, increases nasal mucosal immunity and reduces inflammation.
To 2 liters of hot water pour 5 teabags shock or two tablespoons of dried herb.
Inhalations are 15 minutes every night for a month.
Inhalations with Rosemary tea
Rosemary tea in external use shows the strong anti-inflammatory and anti-infective properties. Penetrates deeply into the skin and mucous membranes, increase local immunity, soothes and reduces pain.
For inhalations use two tablespoons of dried herb or 5 teabags in 2 liters of hot water.
Inhalations are made daily for a month, 15 minutes each day.
Inhalations with yarrow tea for sinusitis
Yarrow tea in external use shows the healing and regenerative properties.
It is indicated of dried sinusitis, in daily inhalations of 15 minutes for one month.
For inhalations use 2 tablespoons of dried herb to 2 liters.
Tea from the flowers and leaves of pansy
This tea is used external use for all inflammatory and infectious diseases of the skin and mucous membranes.
In sinusitis acts through decreasing of local edema, reduce inflammation and boost immunity to the sinus mucosa.
It is recommended for inhalations, using 2 tablespoons of dried herb to 2 liters of water. Shall be made, as above, inhatalii 15 minutes daily for one month.
Inhalations are always in the evening, in order not get out in the cold air or dust, sinus mucosa is sensitized. These inhalations are made immediately before bedtime.

pansinusitis - surgery

An untreated sinusitis can lead to serious complications. When antibiotics, anti-inflammatories and punctures are ineffective, surgery is the only way to get rid of infection.
Paninusitis is triggered when are produced inflammation of the sinuses, as a consequence of infecting mucosal lining it. These cavities are designed to warm, moisten and filter the air we breathe through the nose. The patient has a stuffy nose, congested (breathing is difficult) and yellow-green leaks.

He perceives exaggerated the bad smells, has spontaneous pain during periods of acute pansinusitis and feels intranasal pressure (for maxillary sinusitis), fronto-orbital pain, in the area above the eyes, feeling of pressure on the eyeballs (when sinusitis is frontal) deep headache behind the eyes, radiating to the forehead, topping, in the neck and behind the ears (in the case of sphenoid sinusitis), deep and dull headache,  in the form of persistent neuralgias in the nose area and eye orbits (ethmoidal sinusitis). Some patients accuse and dizziness, cough, red eyes and mitigation of olfactory and gustatory senses. Untreated, us life-threatening if not treated properly, sinusitis may be complicated by an infection of the skull bones (osteomyelitis) or eye problems. Also, the infection can reach the brain, causing meningitis or brain abscess. Mucosal inflammation is treated with antibiotics. At the first visit to the ENT specialist, to patient is performed a sinus radiography to see in what stage is infection. If on the radiograph is found only mucosal inflammation without pus are recommended antibiotics, anti-inflammatory for inflamed mucosa of the sinuses and nasal decongestant.
It is very important that antibiotic should only be prescribed by a specialist ENT, because only it may indicate the type of effective treatment for microbe involved in infection. Flora pathogen that infects the sinus is already known and is not required an antibiogram.

Maxillary sinusitis is the most common forms and are the results of a tooth infection. Through the punctures, pus is cleaned. If sinus radiographs reveal the presence of pus in the maxillary and frontal sinuses are necessary punctures for these eliminating. Affected cavity was washed with physiological saline to drain the pus. The procedure is performed under local anesthesia, so it should not be painful, but it certainly is uncomfortable.
In most cases, a puncture is not sufficient to remove the pus. If after ten such procedures does not coming clean saline or the unpleasant smell persists, the only and ultimate solution is the surgery. Surgical treatment of sinusitis is to remove the lining of the sinuses.
It can be done either endoscopically or by classical surgery. Endoscopic surgery is possible only in cases where sinusitis is not very advanced. The Classic has the disadvantage, if is frontal sinusitis, it leaves the scar in the eyebrow area . Sphenoid sinusitis, ethmoidal and maxillary is operated through the oral cavity. Hospitalization is required. Surgery of sinusitis is always performed with general anesthesia and hospitalization last on average seven days.  Unfortunately, the patient may present repeated episodes of recurrence of sinus suffering, in which case a reassessment is necessary and even a new surgery. Pain may persist for up to a year after surgery and is increases to the weather changes. In the case of dental maxillary sinusitis, the first step of treatment should be eradication of the dental outbreak. Depending on the severity of the infection, or it may mean treating tooth infection or its removal by a dentist.

Sinusitis - complications

Why is dangerous and that serious complications can have
Sinusitis can often be a sinus infection that requires a minimal treatment, but when ignore the warning signs, you may find that suffers from dangerous complications.
Find out which are the most common serious complications of sinusitis.In the acute form, sinusitis powerful slows breathing, dangerous thing when you have and other respiratory problems, usually at asthma.
Without proper treatment, sinusitis can become chronic, at which the risks of complications rise even more.

The risks associated of untreated sinusitis
Sinusitis occurs in most cases after a cold. Other risk factors include bacterial infections, fungal or allergies. If the disease has not disappeared after three months or if regularly returns , the diagnosis is chronic sinusitis, and the risk of complications is higher.
The infection which debuted in sinus can quickly spread to the skull, but also in all body in the absence of correctly treatment.

The meningitis and other cerebral infections
One of the most serious complications of sinusitis may be meningitis. The risk of extension of infection to the brain, either by bone or by blood is higher in frontal sinusitis. If not detected in time, the infection in the brain can cause brain damage and even death.

Infection of the eye orbit and vision problems
Orbital eye infections that can derives from sinusitis are particularly serious. In some cases, the optic nerve can be affected, it causes a decrease in quality of vision, temporary or permanent or even the blindness. May be affected and muscles that control the movements of the eyeball and of eyelid affected eye.

Osteomyelitis, infection of cranial bone
When sinusitis gets worse and you do not get required treatment, the infection can spread even to the bones of the skull. Osteomyelitis usually occurs in the bones of the forehead, and the symptoms associated are more powerful migraines, high fever and a palpable inflammation of bones.

Blood clots or aneurysms
Occurrence of blood clots in the skull caused by sinusitis, is another serious risk, but this situation is rather rare. Blood clots can cause aneurysms in the brain or a stroke that can put your life in danger.

Nasal polyps
Sinusitis occurs more often in people who already suffer from nasal polyps, but these may occur as a complication of the disease, which makes it harder breathing. In some severe cases, obstruction in the airways to polyps can even lead to loss of smell, and the risk of permanent loss of this feel grows for those who suffer from chronic sinusitis.

The correct treatment for sinusitis
The easiest form of sinusitis requires a simple treatment, but your doctor may recommend treatment with antibiotics to eliminate more rapid the bacterial infection which can spread.
Treatment with antibiotics is important to the first appearance of symptoms, to prevent the onset of chronic sinusitis, the disease whose complications are more dangerous than in the acute form.

bacterial sinusitis

The sinus inflammation is very common during upper respiratory infections - up to 90% - showing radiological signs, but only 0, 5-2% are complicated by bacterial infection. Acute bacterial sinusitis is defined as a sinus inflammation of the bacterial nature.
The bacterial sinusitis is bacterial superinfection consequence that follows after a viral nasopharyngitis trivial of upper respiratory tract, that affects in most cases, as previously mentioned, and sinus mucosa.
Aggression bacterial of at the level sinusal epithelium determine disappearance of ciliary movements, which, in normal, continuously evacuates mucus with bacteria present at this level. This situation favors the adherence and multiplication of bacteria at the level of epithelium, causing inflammation with edema of the lining and the obstruction of sinus drainage. The bacterium proliferates further and appear acute purulent sinusitis.

Besides upper tract viral infections, bacterial sinusitis can appear as a result of infection of dental origin and may be favored by other factors:
• sinus tumors
• foreign bodies
• malformations
• septal deviations
Antibiotic treatment for bacterial sinusitis lasts 10 days and is usually empirically.
It is administered mainly:
• For localized maxillary sinusitis - amoxicillin - clavulanic acid, second generation cephalosporins (cefuroxime), third-generation cephalosporins (ceftriaxone), telithromycin
• for frontal sinusitis, ethmoid, sphenoid may be administered the above antibiotics or quinolone active on the pneumococcus, such as the levofloxacin, moxifloxacin
For sphenoidal sinusitis, which has severe evolution, is indicated association of injectable antibiotic with antistaphylococcal activity. In the absence of amelioration with antibiotic treatment is indicated surgical intervention for evacuation of pus.
In general, bacterial sinusitis evolves favorably under treatment with symptom control in 2-3 days.
Other means of treatment:
• steroidal anti-inflammatory
•-steroidal anti-inflammatory especially indicated in obstructive sinusitis (prednisone, prednisolone) in the short cure of a few days
• Pain Relievers
• sinus drainage by puncture - in case failed antibiotic treatment, with the persistence of radiological signs

allergic sinusitis

Low temperatures and shorter days signaled installation of seasons when affections related respiratory tract become prevalent. Like spring, autumn give birth or worsens respiratory allergies, or allergic rhinitis, which, though are milder and can be different from allergies in the spring and is manifested by:
- Sneezing;
- Headaches;
- Runny nose;
- Nasal congestion;
- Itchy eyes and watery them.
Untreated properly, the above symptoms may be associated with signs what can suggest and occurrence of sinusitis.
You must be careful not to confuse manifestations of respiratory allergy type with of the flu. One can talk about allergy if:
- Symptoms persist for more than a week, which is the usual duration of a cold.
- Symptoms are more severe in a certain place or season, and less severe in others.
- Runny nose and mucous secretions are clear and abundant.
- Gradual onset of symptoms, including attacks of sneezing, itchy eyes, nasal or "palate".
- Fever, muscle aches and malaise are usually present.
It can be a cold if:
- Symptoms include fever, muscle aches, malaise and sore throat.
- Symptoms remitted after 7-10 days.
- Runny nose and mucus secretions become more consistent and is get a yellowish color.

sinusitis in children

Sinusitis is a condition characterized by sinus infection of children and occurs most often as a result a cold or flu. It is a frequent affection that does not always require medical treatment, but which may create complications if not diagnosed and properly cared for. If your child laments that he got a headache, exhibit symptoms of colds and feel pain and pressure in the forehead, above the eyes, it is possible to suffer from sinusitis.
Causes of sinusitis in children
Sinuses are localized at the cranial level and represents four cavities or spaces full of air. They are lined with a mucous membrane. The mucus that flows through them are by consistency of nasal and is designed to clean and remove bacteria from the air we breathe. When these places become infected, sinuses become inflamed and causes the sinusitis. The causes are either bacterial or viral.
The most common cause of the disease is the bacterial infection. For that bacterium to grow and multiply in sinuses, there must be an enabling environment. Therefore, we believe that sinusitis is often triggered by a cold when sinuses are vulnerable to infection.
Colds determine inflammation of the nasal mucosa and fluid or mucus remains captive in the sinuses. Bacteria grow and multiply in a moist environment and causes sinusitis.
Exists and several risk factors that can cause sinusitis in children:
exposure to irritating chemicals (the swimming pool);
- runny noses;
- polyps big or large allow blocking the tract of nasal sinuses;
- passive smoking.
Symptoms of sinusitis in children
Symptoms are very similar to those of a cold, but there are several features which betray him. If your child manifests 1-2 symptoms from the following list is likely to have the sinusitis:
- stuffy nose (breathing through the mouth);
- thick nasal secretions,yellow or green;
- facial pain or sensation of pressure in the forehead (especially in the area above the eyes - frontal sinuses - or in the space between the eyebrows);
- swelling of the area beneath and above the eyes;
- headache;
- halitosis or bad breath;
- possible toothache;
- fever, especially to bacterial sinusitis.
Treatment of sinusitis in children
Most cases of sinusitis in children does not require any kind of treatment. Pain and inflammation go by itself within a few days later from the trigger of symptoms.
When symptoms persist and the child's condition is worsening, it is advisable to interfere therapeutically.
The therapeutic conduct aims especially reducing inflammation, treating infection , drainage and maintaining open sinuses.
Treatment prescribed depends almost entirely of the cause that triggered the disease - virus or bacterium.
In case of bacterial sinusitis the doctor prescribes antibiotics, but the viral cannot be cured in the same way. In addition to antibiotics, doctors could prescribe a series of antihistamines and decongestants in order to relieve symptoms that cause strong discomfort to child.
In the situation where the sinusitis of child  has a viral cause, the therapeutic purpose is to relieve discomfort and ameliorate symptoms. Therapeutic measures are similar to those for colds, children needing rest, intense hydration, painkillers to pain, hot compresses or decongestants.

acute rhinosinusitis

Sinusitis is an important public health problem, which has a growing incidence and prevalence in developed countries. Sinusitis is an inflammation of the nasal mucous membrane covering the nose and paranasal sinuses.
Although traditionally is only called sinusitis, this inflammatory process is often preceded by rhinitis. Then expands and to mucosa paranasal sinuses , which is why recommend it using of the rhino-sinusitis term  .
Signs and symptoms
Major criteria by which is diagnosed are:
Pressure and facial pain (suggestive of rhino-sinusitis, only associate with other major criterion), nasal obstruction, nasal discharge / pus drip, Disorders of smell (hyposmia / anosmia) Fever (acute rhinosinusitis only). Minor criteria consist of headache, fetid halitosis, fatigue, coughing, and accusing ear (otalgia, autofonie, tinnitus).
In acute rhinosinusitis the fever, facial pressure isolated are not elements of positive  diagnosis in the absence of other signs or symptoms nose. Diagnosis of acute bacterial rhinosinusitis is established if symptoms of a viral infection worsens after 5 days, if symptoms persist after 10 days of onset of symptoms or the presence particularly pronounced for typical viral infection. Subacute rhinosinusitis shows complete revolution after effective medical treatment. In chronic rhinosinusitis the facial pain is not a symptom suggestive in the absence of other signs or symptoms nose. No sign or symptom is not specific and sensitive for the diagnosis of rinosinuzitei exactly.
How diagnose rhinosinusitis?
The Non-invasive methods diagnostic of rinosinusitis are classic radiography, sinus echography, computed tomography and magnetic resonance imaging (RMN). Nasal endoscopy and paranasal sinuses and sinus puncture (maxillary sinus) are invasive methods diagnostic of rinosinusitis, but and therapeutic methods by draining of sinus secretions. Spectrum of pathogens include viruses addition, aerobic bacteria (Haemofilus influenzae, Streptococcus pneumonia, Moraxella catarrhalis, streptococci, staphylococci), rarely anaerobic bacteria and fungi. Unlike acute sinusitis where are frequently isolates only one bacterium,  in chronic sinusitis predominates polymicrobial associations.
Methods of treatment
The antibiotic treatment has an optimal duration of 10-14 days. Using the estimation of Marchant type, antibiotics were ordered in a scale of effectiveness, predictive  estimated to in adults patients with acute bacterial rhino-sinusitis.
Also, are indicated additional treatments:
Nasal irrigation with saline solution (normal saline or hypertonic solution);
Humidification of inspired air (hot vapor inhalations);
Mucolytic;
Topical decongestants (optimal duration of treatment is 5-7 days to reduce the risk of dependence);
Antihistamines and topical corticoids.
Surgery. Establishing indications for surgical treatment has been hampered by the lack of uniform criteria for defining of chronic rhino-sinusitis,  the lack of an unanimously accepted staging system of rhino-sinusitis.
Absolute indications for surgical treatment:
Complications;
Chronic rhino-sinusitis with mucocel / mucopiocel;
Invasive fungal rhino-sinusitis.
Relative indications for surgical treatment:
The chronic rhino-sinusitis to adult which necessitated various medical treatments for the symtomatic control of sinus suffering and who have not obtained the marked improvement;
Recurrence episodes of acute rhino-sinusitis. The failure of medical treatment represents the indication for surgical treatment.  Can occur the complications its. Some of these are the affecting of other sinuses   (poly / pansinusitis), conjunctival complications, orbital-ocular complications, otitis tongue / suppurated, endocranial complications (meningoencephalitis, superior longitudinal sinus thrombophlebitis, thrombophlebitis cavernous sinus).

sinusitis - natural remedies

Chronic sinusitis affects millions of people annually and is one of the most frequent chronic affections. Symptoms may include headache, breathing difficulties nasal, sensitivity to the cheeks, pain behind the eyes,  runny nose or post nasal leaks, sinus congestion.
Acute sinusitis lasts less than 4 weeks. In most cases, this is caused by a virus and is preceded by a common cold  .
Chronic sinusitis may be caused by upper respiratory tract infections, allergies, deviated septum or other anatomical conditions, fungi and is recurrent and lasts more than 12 weeks.

If a person has symptoms characterstics sinusitis, it is important to undergo a medical practitioner. This disease untreated can lead to serious or chronic infections.
The diet
This is a zone of debate. Many adherents of conventional medicine considered that some food sensitivities does not determine sinus congestion or sinusitis, although this is an often seen approach to alternative medicine practitioners.
Targeted food can be the milk, oranges, sugar and wheat, because they consider that these foods stimulate mucus formation. About sugar, these medicine experts, say that is a food negative with effect on body function.
Nasal irrigation
The nasal irrigation, rinsing of sinus or sinus lavage is a simple alternative procedure recommended by practitioners to ameliorate chronic sinusitis. Nasal irrigation is a procedure that can be done at home and involves the use of a salt water (of sea) for rinsing and emptying of nasal cavites.
Although nasal irrigation is often recommended by doctors especially in the case post-nasal leakage and to prevent allergic rhinitis (often called high fever or allergies) and sinus infections; is also used and in alternative medicine for the same affections being a general practice for preventing and cleaning.
Fortunately, there are immediate measures as safe and natural alternative to use medicines.
1. Studies have demonstrated that up to 70% of patients with chronic sinusitis have environmental allergies. So it is logical to try to avoid, if possible, passive smoking, the gases of traffic, dry air and chemical substances from own house or workplace. Should be removed the dust particles from the house by vacuuming frequently carpets.
2. Moderate physical exercises help to boost immunity. Even walking for 30 minutes by 3-4 times a week can be very efficient - although it should avoided walks outdoors when in the environment quantity of pollen is raised because this factor may exacerbate the problem.
3. Eliminate from diet,  the foods with potential allergen and which favors the creation of mucus, like eggs, fried or fatty foods, sugar, pasta,  beer, chocolate and any other food which have in composition additives.
4. Consume more products that clear the sinuses and helps liquefy mucus. These include foods like fresh fruits and vegetables, salads, fish and chicken broth hot. Foods that are known to be highly beneficial are garlic, onion, chilli, ginger, horseradish, mustard and pineapple.
5. Drink daily 2-3 liters of mineral or flat water, hot herbal teas and drinks which have in composition lemon.
6. For fast ameliorate of symptoms, mix one teaspoon of fresh grated horseradish or root with the lemon juice, hot water and the sweeten up with little honey,  drink the mixture slowly.
7. Inhalation is a practiced way and tested to unclog the blocked sinuses. Add 10 drops of Olbas Oil to a bowl of water having the temperature similar to the one of boiling, cover your head with a towel, close your eyes and inhale the steam emitted,  for 10 minutes.
8. The nasal washing is an old treatment. It dissolves half of a teaspoon of salt in a cup of hot water, keep covered one of the nostrils, and then try to pull the fluid on the opposite nostril. Repeat then the operation and use other nostril.

pansinusitis polyposis

What is the nasal polyposis?
It represents a Oedematous degeneracy of nasal lining as a result of some allergic phenomena. Polyps produce the obstruction of nasal cavities  resulting impossibility  of nasal respiration, loss of smell, nazonata voice , cephalalgia. Sometimes it can super-infect causing the appearance a purulent nasal secretions.
The nasal Polyposis may also to appear as phenomenon  accompanying in a series of other diseases: rinosinusale infections, tumors with the rinosinusala location and some systemic diseases: mucoviscidosis, Widal syndrome, etc.
How  manifest the nasal polyposis?
- In polyposis of allergic cause :the nasal obstruction is bilateral with the present in nasal cavities of some cystic formations translucent with aspect of bunch of grapes
- In polyposis of infectious cause: the nasal obstruction is unilateral usually, accompanied by the unilateral mucopurulent rhinorrhea.
- At children may be a severe form of allergic polyposis: The deforming nasal polyposis that leads to widening of the nasal pyramid in sideways and on the height because the bones of face are still in period of growth.
Which is the treatment of nasal polyposis?
Consists in removing the polyps of endonazalis for the restoration of nasal air lane . Most times, however, the polyps reoccur if are not associated whit  efficient treatment of cause  (allergy, infection, sinusitis, etc.)
- For the allergic polyposis: must do practiced polypectomy, followed by the allergy treatment. Performing a simple computed tomography can show the polyposis extension in the maxillary and ethmoidal sinuses, which requires surgical treatment there of simultaneously or successively. The most extensive form of  disease is the bilateral  polyposis pansinusitis , requiring a radical surgical intervention with opening all of face sinuses.
- For deforming nasal polyposis first are treated the rinosinusala infectious which caused the appearance of the polyps and then to realized the polypectomy
- For the deforming nasal polyposis of child the treatment is addressed to the allergy, followed by polypectomy, but the polyps relapse frequently.

chronic maxillary sinusitis

 Chronic maxillary sinusitis is a chronic inflammation of the lining of the maxillary sinus with an evolution of more than 3 months. Factors that cause chronic maxillary sinusitis include:

- Rhinology factors (causes of chronic nasal obstruction)

- Environmental factors (pollution) contaminant, dust, smoke

- Infectious factors

- Dental outbreaks that may cause odontogenic maxillary sinusitis

- Traumatic factors

- Tumor factors

- Lowered immunity due to various reasons.

Symptoms of chronic maxillary sinusitis are:

- Feeling of pressure, tension in the cheek

- pain of lower intensity

- Nasal obstruction

- Rhinorrhea (runny nose) mucopurulent, sometimes foul-smelling

- Disorders of smell

- Morning cough with expectoration

When examining ENT it is found the submit purulent of secretions in the nasal cavities, which can be sometimes fetid and the nasal mucosa is congestive.

Is necessary to conduct investigations such as the:

- X-ray of anterior and posterior facial sinuses

- Nasal endoscopic examination

- MRI

- examination Computed tomography: of the lining sinus can appears modifications, liquidian level, polyps, obstruction ostiomeatal, calcification, etc..

- Bacteriological and mycological examination of secretion with anti-biograma

- Dental checkup and dental radiography if it is a suspected a cause dental of sinusitis.

- Allergy testing

- Biopsy examination (if applicable)

- Sometimes sinus puncture

How to treat chronic maxillary sinusitis?

The prophylactic treatment is very important and consists in treating all factors that determine the nasal obstruction such as a deviated nasal septum, chronic hypertrophic rhinitis, nasal polyps, etc.

Curative treatment for this disease is medically and surgically.

Medical treatment is the first choice in chronic maxillary sinusitis and consists in the administration of:

- Broad spectrum antibiotic for several weeks

- Aerosol with anti-inflammatory substances

- Dezobstruante nasal vasoconstrictor

- Vitamins and minerals

- mucolytics

- inhalations

The surgical treatment is reserved for patients who have not responded to medical treatment correctly.

The surgical treatment in chronic maxillary sinusitis aims at draining of  maxillary sinus, this can be done by endoscopic (meatotomie medium) or the classic way  depending on each patient.

Pre-operative must be performed the following analyzes:

- Complete blood counts

- Tests of liver

- coagulogram

- Tests of renal

- C.T.sau R.M.N.

- glucose



- Pulmonary Radiography, EKG and cardiology checkup if intervention takes place in general anesthesia

It is very important to know before surgery if the patient follows chronic medical treatments or is allergic to some medicine.

Also, before surgery, must be obtained the consent of the patient.

Post-operatively the patient remains with nasal swab  about 24 hours with special buffers nasal type Merocel, after of-buffer (removing nasal swab) will practice daily nasal toilet with aspiration of secretions and crusts, followed by tables nasal vasoconstrictor solutions.

The post operative checks  are mandatory and consist in grooming of nasal cavities, daily initially and then at 3-4 days until healing. These controls postoperative are essential for the therapeutic success long-term.

how can you prevent pansinusitis

Pansinusitis can be prevented?
There is no scientifically approved methods to prevent acute or chronic pansinusitis.
Your doctor may recommend the following measures that may help:
-    keep your nose moist by frequent use of sprays or saline washes.
-    avoid very dry interiors and use a humidifier if necessary. Attention, however, to the fact that a moist environment can increase the amount of mold allergens, ticks or cockroaches in the house; this is important if you are allergic to any of these bodies.
-    avoid exposure to irritants substances such as smoke cigarette or  strong odors of chemicals.
-    avoid exposure to substances to which you are allergic.
-    If you have not you been tested for allergies and you have frequent sinus infections, ask your doctor will make an evaluation of allergies or go to a specialist allergist.
-    avoid long periods of swimming in pools treated with chloride, which irritates the nasal and sinus mucosa.
-    avoid scuba diving at depth, putting water pressure in the sinuses and nasal passages.
Traveling by air can be problematic if you suffer from acute or chronic pansinusitis. When air pressure from an airplane decreases, pressure may rise in your head, blocking the sinuses and fallopian of Eustache (air channel between the middle ear and the back of the throat that equalizes air pressure on either side of the eardrum). As a result, you may feel discomfort in the sinuses or middle ear during lifting or lowering aircraft.
Some health experts recommend using decongestant nose drops or sprays before flight to prevent these problems.

all about pansinusitis

Pansinusitis is considered chronic when recurrence or when its manifestations beyond six weeks. If sinusitis does not respond to conventional treatment or if not treated, it evolves into chronic pansinusitis. In general, chronicity is installed after several attacks of acute sinusitis.
Pansinusitis can be explained by several factors: allergies to hair of animals, the mites, pollen, fungi or other substances that can cause inflammation of the nasal mucosa.
Other possible factors:
»Smoking (active or passive)
»Weakened immune system
»Anatomic anomaly: a deviated nasal septum
»Nasal polyps
»swimming
"Inhaling cocaine
»Facial trauma that causes an obstruction of one or more sinuses
 Signs and symptoms
»Facial pain (above the eyebrows, teeth, around the eyes and behind them)
»Painful sensation of pressure in the sinus
»Nasal congestion
»Yellow or green nasal discharge, purulent if a bacterial infection. If secretions are clear, it is a cold (in this case antibiotics are not useful)
»cough
»Grade fever and malaise
»Diminution or loss of sense of smell 
In case of chronic pansinusitis symptoms are the same, but it takes a long time (over 6 weeks).
 Causes and risk factors 
Acute sinusitis is often the result of a viral infection of the upper respiratory tract, but allergens (substances that cause allergies) or pollutants may also be causes of acute sinusitis.
Bacteria responsible for acute pansinusitis is Streptococcus pneumonia, Haemophilus influenzae, and Moraxella catarrhalis. These microorganisms, along with Staphylococcus aureus and anaerobic bacteria responsible for chronic sinusitis.
Fungi leads to the appearance of chronic pansinusitis especially in patients with diseases affecting the immune system (AIDS, leukemia, diabetes).
 Risk Factors
- An infection of the upper respiratory tract (the main factor)
- Smoking (active or passive)
- Wet or polluted living environment
- Age. Although sinusitis sometimes occurs in infants and young children, it is more common among adults. Sinuses are formed progressively until age 12.
- Personal history of sinusitis
- Respiratory allergies (allergic rhinitis, allergic asthma)
- Congenital nasal or sinus - that causes blockage of the latter
- Nasal polyps
- Abscess
- Diseases affecting the immune system (leukemia, AIDS, diabetes)
- Cystic fibrosis
Prevention 
Measures to prevent acute or pansinusitis
 Some measures can reduce the risk of contracting an infection of the upper respiratory tract, or suffer from chronic pansinusitis: 
-Hay fever can be prevented by simple measures: wash hands carefully, avoiding contact with sick people. 
-Allergies can be prevented by avoiding exposure to possible allergens (pets, pollen, fungi) and conventional pollutants. 
-Immune system through a balanced lifestyle, in terms of stress levels, physical activity, diet. 
-Quitting smoking and avoiding exposure to cigarette smoke, which irritates the sinuses 
-Avoid using decongestants in the form of nasal sprays for more than 3 days. These topical decongestants are not without risks, because the nasal mucosa may be affected after a very long applications of these products. This rebound phenomena was observed after long use - recurrence of symptoms at end of treatment to be removed. Rebound is less severe when oral decongestants.
Measures to prevent complications  Consulting physician for accurate diagnosis and taking action to treat sinusitis generally allow preventing complications (meningitis, osteomyelitis, etc.). 
These signs indicative of complications:
  - Disturbances of vision (sometimes double vision)
  - Congestion of the eyes
  - Changes in consciousness 
Choosing appropriate antibiotics, adequate spectrum etiology of infection (eg, amoxicillin), reduces the risk of infectious colitis associated with taking antibiotics 

 

Pansinusitis

It is a fairly common disease, sinus disease, i.e., when all paranasal sinuses are inflamed simultaneously. There are two forms of the disease: a chronic catarrhal Pansinusitis chronic polypoid Pansinusitis.

Both significantly different histological features both structural and immunological fine. Of paramount importance is the recognition that it is in both forms of chronic primary disease.
There are four types of sinuses: sinus frontal, maxillary sinus, sphenoid sinus ethemoid and sinuses. We studied the role sinus actually for us, and it was concluded that they help us have a better voice resonance, also have a protective role of the skull to temperature changes. Cavity, paranasal sinuses Anzali is protected with a membrane that does not allow the various microbes. This membrane produces mucus and is called mucus antibacterial protective role of the nasal cavity against all impurities that are inhaled. These impurities if not stopped can cause irritation or allergies to various nasal cavity.
Causes pansinusitis disease is actually a sinus infection. This infection can be of two types, bacterial or fungal infection also. They can cause allergies or irritation of parasinusitis inhaled.
The symptoms are that we may have nasal sinuses produce excessive mucus, nasal obstruction night, abnormal amounts of secretion in the nose, dry mouth, nasal irritation with sneezing in the morning and impairment of the immune system in the upper respiratory tract, with consequence of frequent acute illness, or so-called nasal blockage, namely we stuffy nose. Pain in the teeth, gums or sinus cavity. Increases, causing sometimes is affected, difficult breathing, sore throat accompanied with cough. Does your doctor if you suspect pansinusitis find that you will need to send to get your sinus CT scan to see if indeed you are dealing with this disease, it can also make the mucus analysis in order to extract detect microorganisms underlying sinus infection, this is very important because depending on the result consists beginning of the new treatment. In some cases your doctor may recommend performing blood tests, allergy tests, or different dental or olfactory tests. These symptoms can take up to 2 or 3 months.
Treatment of this disease usually consists in most cases oral antibiotics, but can be other ways of treating the disease according to disease severity and is up to the doctor. It also can administer corticosteroids. After a few days his drugs take effect and begin to feel better but it's extremely important that the treatment prescribed to be taken all the way to avoid recurrence of the disease which could aggravate the situation. In particularly serious cases may be sinus surgery to remove polyps or pus built up, as it surely will be breathing easier and better oxygenation of the brain.
Parasinusitis (chronic sinusitis) is more common than previously thought. Significance is the key factor in the successful treatment of many other chronic diseases. Particularly important is the treatment of chronic inflammation of the sinuses, the terms of complications, very dangerous, usually endangers the functioning of the brain and skull found in all organs.