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Ask a doctor on the topic of Otorhinolaryngology

How can I treat my chronic sinusitis?

Dear Sir or Madam,

My name is Sebastian Beck and I have been suffering from chronic sinusitis for some time now. I regularly experience headaches, pressure in my face, blocked nose, and pus discharge from my nose. These symptoms significantly impact my daily life and I am concerned that my sinusitis could worsen further.

So far, I have tried various decongestant nasal sprays and antibiotics, but they have only provided temporary relief. I would like to know if there are alternative treatment methods that are effective in the long term against my chronic sinusitis. Are there specific medications, nasal rinses, or other therapies that could help me with my condition?

I am also interested in possible surgical interventions for treating my sinusitis. What options are available in this area and what risks are involved? Would surgery be advisable in my case and what is the success rate of such procedures?

I would greatly appreciate your expert assessment and recommendations on how to effectively treat my chronic sinusitis. Thank you in advance for your help.

Best regards,
Sebastian Beck

Roberta Weinert

Dear Mr. Beck,

Thank you for your detailed description of your symptoms related to your chronic sinusitis. I am sorry to hear that you are suffering from these symptoms and that previous treatment attempts have only provided temporary relief. I will try to answer your questions as comprehensively as possible to help you in the effective treatment of your condition.

First and foremost, it is important to understand that the treatment of chronic sinusitis can vary depending on the severity and individual variability. In addition to decongestant nasal sprays and antibiotics, there are indeed alternative therapy options that can be effective in the long term against your sinusitis. One option is corticosteroid nasal sprays, which can reduce inflammation in the sinuses and therefore alleviate symptoms. Furthermore, nasal rinses with isotonic or hypertonic saline solution can help to clear blocked nasal passages and moisturize the mucous membranes.

Additionally, immunomodulatory medications such as antihistamines or immunotherapies can be considered to strengthen the immune system and reduce inflammatory reactions. It is important to consult with your treating physician to find the most suitable treatment option for you.

Regarding surgical interventions for the treatment of your sinusitis, there are various options depending on which sinuses are affected and the severity of the condition. Possible surgical procedures include, for example, endoscopic sinus surgery, where the inflamed tissues are removed and the nasal passages are widened. This procedure can help improve the ventilation of the sinuses and alleviate symptoms.

However, it is important to note that every surgery comes with risks, including infections, bleeding, and damage to surrounding structures. Your treating physician will discuss the risks and benefits of a possible surgery with you in detail and together with you decide if surgery is advisable in your case.

In conclusion, it is important to regularly communicate with your doctor and thoroughly inform yourself about all possible treatment options. An individualized treatment strategy tailored to your specific needs can help effectively treat your chronic sinusitis.

I hope that my information has been helpful to you and I am available to you if you have any further questions. I wish you all the best and a speedy recovery from your symptoms.

Sincerely,

Roberta Weinert, Specialist in Otolaryngology

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Roberta Weinert