We have several small air-filled spaces located within our skull, behind our cheeks, between our eyes and over our forehead. These spaces are called sinuses, and they help to moisturise and warm the air we inhale. They also help to make our voice bright and resonant when we speak.
Mucus is produced in our sinuses which drain into our nasal cavity. When these channels are blocked, pressure builds up in our sinuses, causing pain or discomfort.
It is common for us to get acute sinusitis after a viral upper respiratory tract infection (flu or cold). While most of us will recover on our own, some may require antibiotics.
The most common reason for getting sinusitis is after a flu or cold.
Other conditions that make us prone to getting sinusitis are:
- Nasal polyps
- Allergic rhinitis
- A weak immune system
- Working in an environment with toxic fumes (e.g. painting, chemicals, glue)
Symptoms of sinusitis include:
- Nasal obstruction
- Yellow or green nasal discharge
- Pain or discomfort behind the cheeks, forehead and behind the eyeballs
- Reduced sense of smell
- Bad breath
Children with sinusitis may appear irritable or breathe through their mouth.
Acute sinusitis usually clears up spontaneously or with treatment within 3 months. However, if the sinusitis persists beyond 3 months, it will be considered chronic sinusitis.
When to See a GP
It is common to have acute sinusitis after a flu or cold. The symptoms should subside within 7-10 days. You should see your GP if the symptoms persist or if they get worse.
When to See an ENT Doctor
- Frequent attacks of sinusitis every year
- Sinusitis that does not respond to antibiotics
- Bloodstained nasal discharge
- Redness and swelling of the eye and blurring of vision
- Intense headaches
- High swinging fever
If your symptoms are mild and occur immediately after a cold, you can try simple remedies like Panadol to relieve the pain and nose drops to decongest the nose. You can also apply a warm pack over your face to reduce the discomfort.
Other treatment methods include:
- Sinusitis that does not resolve on its own is usually associated with secondary bacterial infection. A course of antibiotics will often clear up the symptoms
- Douching or rinsing the nose with sodium bicarbonate solution helps to wash away the infection, reduce the congestion and promote healing
Nasal steroid sprays
- Nasal steroid sprays are very effective in reducing inflammation and swelling and bring about symptomatic relief
See an ENT surgeon if you have recurrent sinusitis that does not respond to antibiotics.
The ENT surgeon will examine your nose to see if you have any nasal polyps or structural problems that predispose you to sinusitis. Sometimes a CT scan may be used for a more accurate diagnosis.
Is some instances, sinus surgery (Functional Endoscopic Sinus Surgery, or FESS) may help promote drainage of the sinuses:
- Performed under general anaesthesia
- Removes diseased sinus cells and opens up the natural drainage pathways between the sinuses and the nasal cavity
- 1-2 weeks of medical leave after the surgery
- Return for post-operative cleaning
- Douche your nose frequently to keep the operated area clean
- Most patients will recover within a month