Sinusitis - Treatment

Which treatments help with sinusitis?

Prompt treatment with medication prevents potential complications of sinusitis. Chronic sinusitis in particular is known to be resistant to therapy, however, taking the right measures can reduce symptoms considerably.

When suffering from chronic sinusitis a doctor should be consulted!

The aim of the treatment of acute and chronic sinusitis is to re-establish the drainage of secretions from the sinuses and alleviate symptoms. In the case of acute sinusitis it is possible to quickly control the illness with medication.

Treatment of chronic sinusitis is more difficult, however, symptoms can be reduced to bearable levels. If medication does not help sinus surgery can be appropriate.

Medication for sinusitis

In the short term, the treatment of acute problems can be attempted with nasal decongestant sprays (e.g. with active ingredient Xylometazoline or Oxymetazoline). However because of side effects and the risk of becoming addicted to the medication, their use is only recommended for a period of up to 7 days. Please consult your doctor or pharmacist for advice on their use.

There are also nasal sprays which do not contain decongestant (e.g. with active ingredient Dexpanthenol), which can be used for longer term treatment of sinusitis. If symptoms have not improved after 1-2 weeks, antibiotics can be used for the treatment of acute sinusitis, however only in particularly severe cases.

When symptoms are frequently recurring (chronic sinusitis) and at the beginning of the formation of nasal polyps, the most preferred therapy is by means of nasal sprays that contain cortisone. They act as decongestants and anti-inflammatory agents.

Supportive treatments for sinusitis therapy

Alternative, easily applicable home remedies for sinusitis are infra-red heating lamps, nasal rinses or inhalation with etheric oils or salt. The effect of homeopathy has not been confirmed, however its use is mostly harmless.

In contrast, the physical training with PEP-devices is a method that has been confirmed to reduce the formation of secretions and can be performed without the need for medication. These devices work by applying positive exhalation pressure (PEP), which acts on the airways and mucosa and helps to loosen phlegm so that the sinuses can be ventilated again. Use of such a device can be beneficial when suffering from frequently recurring chronic sinusitis problems.

Surgical treatment of chronic sinusitis (Sinus operation)

If anatomic peculiarities are the cause of chronic sinusitis and the symptoms cannot be controlled with other measures, then surgical intervention can become necessary. For example, one can straighten a deviated nasal septum and alleviate problems which prevented the drainage of mucous from the sinuses. In other cases a reduction in size of the nasal turbinate or the operative removal of polyps can be beneficial.

However, before taking the decision to have a sinus operation, one should carefully consider that operations on the skull and near the brain are always associated with a certain risk of complications. Also, the success of an operation is very difficult to predict.

Therefore surgical intervention is only recommended in severe cases, for example, when spread of infection to other skull structures is anticipated. Inform yourself thoroughly before any intervention. It might be useful to obtain several specialist opinions.

RC-Cornet N

A clear nose without medicine

The RC-Cornet® N is a physiotherapeutic aid to remove excess mucous, increase ventilation of the sinuses and reduce cough. Clear your nose in a natural way.