Complications of tinnitus, severe headache due to sinusitis

This is an automatically translated article.

The article was professionally consulted with Doctor Tran Quoc Tuan - Emergency Medicine Doctor - Emergency Resuscitation Department - Vinmec Phu Quoc International General Hospital.
Sinusitis is a fairly common medical condition in Vietnam, including 2 forms, acute sinusitis and chronic sinusitis, depending on the progression of the disease. Regardless of the stage of the disease, it can still cause symptoms such as ringing in the ears and headaches, requiring medical intervention to improve quality of life.

1. How does sinusitis cause tinnitus?

Tinnitus caused by sinusitis refers to a condition where the deep, high-frequency, echo-like sound of the inner ear is caused by a disease of the inner ear. The "buzz" that the patient feels is the feeling of a low-pitched echo without rhythm, fluctuating, increasing and decreasing from time to time, causing pressure in the ear. Tinnitus can change with head position or be related to nasal obstruction, sneezing, or runny nose caused by blocked eustachian tubes and suddenly disappearing altogether.
When the patient has rhinosinusitis, the discharge of pus will block the eustachian tube hole, blocking the tube. The tympanic tube plays a role in balancing the atmospheric pressure between the middle ear and the environment, when blocked, it will cause ear pain and tinnitus due to the unbalanced pressure.

Bệnh nhân bị viêm xoang sẽ có triệu chứng đau tai do tắc vòi nhĩ
Bệnh nhân bị viêm xoang sẽ có triệu chứng đau tai do tắc vòi nhĩ

2. Symptoms of headache caused by sinusitis

Sinusitis causes headaches when the sinus passages behind the eyes, nose and forehead are blocked causing increased pressure inside, leading to pain. Pain may be felt on one or both sides of the head. Sinusitis headache can occur seasonally depending on the causative agent, patients usually have the following symptoms:
Headache worse when leaning forward Nasal color is unusual (green, yellow) Feeling Feeling of increased pressure on the forehead, cheeks, and bridge of the nose Cheeks, nose, and forehead that are swollen and redder than other areas are also common symptoms.

Viêm xoang khiến người bệnh đau đầu hơn khi nghiêng người
Viêm xoang khiến người bệnh đau đầu hơn khi nghiêng người

3. Methods of treating complications of tinnitus, headache caused by sinusitis

Tinnitus, severe headaches are all common manifestations of sinusitis. Treating sinusitis will significantly reduce these symptoms. Depending on acute or chronic sinusitis, we have specific treatment methods:
Acute sinusitis Using antibiotics will help patients recover quickly and prevent turning chronic. The duration of treatment is from 10-14 days or 7 days after the symptoms are gone. Antibiotics are used according to the antibiogram when there are conditions for culture to isolate bacteria
There are also supportive treatments such as antipyretic drugs for fever, anti-inflammatory drugs, mucolytics and isotonic saline used for nasal irrigation
Chronic sinusitis Treatment of chronic sinusitis according to the first principle must be medical treatment, only when aggressive medical treatment fails, then surgery. Medical treatment still uses antibiotics such as Amoxiclav, Cefuroxime, Quinolone broad spectrum and can be used for 4 weeks. Possible adjuvant drugs are topical corticosteroids, mucolytics, vasoconstrictors, nasal irrigation with physiological saline, sea water
Surgical treatment to eliminate the causes and favorable factors causing sinusitis such as: tooth extraction, nasal polyp removal, orthopedic deviated septum,...
The main surgery is endoscopic functional sinus surgery (PESS)

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