What to do with maxillary sinusitis?

This is an automatically translated article.

The article is professionally consulted by Specialist Doctor II Nguyen Van Thai - Doctor of Otolaryngology - Department of Otolaryngology and Head and Neck Surgery - Vinmec Danang International General Hospital
Maxillary sinusitis is a common form of sinusitis, which, if left untreated, can lead to complications such as polysinusitis, pharyngitis, optic neuritis,...

1. Maxillary sinusitis

Maxillary sinusitis is the most common form of sinusitis. The maxillary sinuses include sinus cavities located around the eyes and cheeks. Covering the surface of these sinuses is the mucosal layer. When the mucosal layers are infected, it will cause maxillary sinusitis.
For people with acute maxillary sinusitis or purulent maxillary sinusitis due to dental diseases, if not treated, it is likely to have serious complications, for example:
Polysinusitis: frontal sinusitis , posterior ethmoid sinusitis,... the locations of these sinuses are close together and have a close relationship with the maxillary sinus. Pharyngitis, laryngitis: purulent fluid from the sinuses flows down the throat causing inflammation. Optic neuritis, sinusitis: if prolonged maxillary sinusitis can cause these conditions.

2. Symptoms

Because maxillary sinusitis is a form of sinusitis, the disease also has symptoms such as:
Headache and dull face Fever Purulent discharge from the inflamed nose In addition, the symptoms of maxillary sinusitis also depend on the type of sinusitis. maxillary sinusitis you have:
Acute maxillary sinusitis: the patient may have a sharp pain in the head accompanied by a high fever. The pain may appear continuously with pain symptoms in the upper jaw, eye socket and then spread to the temple and eye area. If the patient has left maxillary sinusitis, the pain will be on the left side and vice versa. The patient may feel more pain when bowing, bending, or jumping. When the hand is pressed into the canine fossa, the patient will feel pain and the jaw is stinging. At first, the nasal discharge is thin, then it becomes thicker, gradually turns yellow, pus-filled and has a bad smell. Before the transition to the chronic phase, the symptoms of acute maxillary sinusitis usually last about 6 weeks. Chronic maxillary sinusitis: At this stage, the patient no longer has pain in the face, but will have a blocked nose. At this time, the patient will feel tired, the discharge has a yellow-green odor, the temples are very painful. Chronic maxillary sinusitis is a very dangerous disease that, if left untreated, can cause dangerous complications. Maxillary sinusitis due to dental diseases: the patient feels pain from intense to dull in the face, especially the cheeks. Pus coming out of the nose and bad breath.

3. Cause

The causes of maxillary sinusitis include:
Long-term allergic rhinitis Deviation of nasal septum structure Dental disease Accidental trauma or surgery Bacterial invasion from outside.

4. Risk factors

Maxillary sinusitis is a common disease that can happen to anyone. However, some people may be more susceptible to this disease if the following risk factors are present:
Tooth decay, oral infections... but no definitive treatment. Have had a tooth extraction or oral cavity surgery. It is possible that the doctor will accidentally injure or let a foreign object fall into the maxillary sinus. History of allergic rhinitis or maxillary sinusitis. The maxillary sinus structure is damaged or deformed by surgery.

5. Treatment

The most common treatment for maxillary sinusitis is medication. Your doctor will prescribe a number of antibiotics depending on the cause of the disease. Patients may also need a combination of pain relievers, anti-allergics, edema...
If the patient has severe maxillary sinusitis or drug treatment is not effective, the doctor will prescribe a treatment regimen. other treatment. The patient may have a Proezt procedure (sinus lavage) to introduce a drug solution into the sinus cavities; maxillary sinus puncture to drain pus; surgery to cut nasal polyps, orthopedic septum...
If maxillary sinusitis is caused by dental diseases, the doctor will treat the cause. In some cases, the patient had to have the tooth extracted.

6. Prevention

Besides treatment, lifestyle and diet also play an important role in helping patients recover quickly. Patients need to eat enough, rest, exercise and work properly. In addition, patients also need to limit the following foods:
Hot spicy foods: these foods will cause acid reflux - the cause of ear, nose, and throat problems. Allergic foods: if you are allergic to foods, avoid these foods. Stimulants: carbonated drinks, alcohol, coffee... can cause acid reflux. Milk and dairy products: These foods will increase mucus in the nose, making it difficult for air to circulate in the nose. Cold water or ice: because it will irritate the mucous membranes of the mouth and respiratory tract. Maxillary sinusitis is a common sinus infection that anyone can get, if left untreated, can cause dangerous complications. Therefore, when you see any abnormal signs, it is necessary to immediately go to a medical facility for timely examination and treatment.
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