Sinus Disease

Acute sinusitis is one of the most common reasons for a visit to the Ear, Nose and Throat Doctor (ENT). Bacteria infection of the sinuses usually occurs following a viral upper respiratory infection. Nasal congestion with colored nasal drainage that persists longer than 7 to 10 days with associated fever, headache and facial pain are hallmarks of acute sinusitis. Treatment with decongestants and antibiotics will often shorten the course of the infection. Most individuals will experience 2 or 3 episodes of acute sinusitis yearly.

Occasionally, nasal drainage, headaches and facial pain will persist for longer periods of time (weeks) despite treatment with antibiotics, decongestants and nasal salt water irrigations. This is suggestive of chronic sinusitis and should be evaluated by an ENT. Usually chronic sinusitis can be treated adequately with medications. If medical treatment fails, sinus surgery
may be indicated. The goal of sinus surgery is to remove the chronically infected tissue and enlarge the normal sinus drainage pathways. Recent advances in the technique of sinus surgery have nearly eliminated the need for incisions outside the nose. The surgery is now done entirely thru the nose with the use of small telescopes, known as endoscopes. The high resolution of the telescopes permits precise removal of infected tissue, while preserving normal sinus lining. This leads to shorter recovery time with less post-operative pain and scarring.

Computer imaging has now evolved to allow for “virtual sinus surgery” which provides instant computer tracking during sinus surgery, improving anatomic localization and disease removal. Both Dr. Lee and Dr. Jordan have experience with this latest technique of sinus surgery.

The treatment of chronic sinusitis requires a multifaceted approach including antibiotics, allergy and anti inflammatory medications and often surgery.