How is sinusitis treated?

Sinusitis, an inflammation of the sinus cavities, is a common condition that can be acute or chronic and has various treatment strategies.

Antibiotics are indicated for acute bacterial sinusitis, with penicillin or amoxicillin recommended for 7 to 14 days.
Non-pharmacologic measures such as steam inhalation, saline nasal irrigation, and hot, dry air can promote drainage and ciliary function.
Pharmacologic treatments include decongestants, topical corticosteroids for chronic sinusitis, mucoevacuants, and analgesics.
Antihistamines are only recommended for acute sinusitis when allergies are present and symptomatic.
In children with chronic maxillary sinusitis, treatment with amoxicillin combined with decongestive nose drops showed no significant difference compared to other treatments or placebo.
Chronic sinusitis in cystic fibrosis patients may require a regimen of endoscopic sinus surgery followed by saline nasal irrigation and antibiotics to inhibit Pseudomonas growth.
For chronic sinusitis, medical management with oral antibiotics, nasal corticosteroids, and nasal lavage is effective, with a small percentage requiring surgery.
There is no significant difference in outcomes between children treated with maxillary sinus irrigation and those who are not, suggesting antibiotics as a first treatment.
General practitioners often prescribe penicillin or tetracycline for sinusitis, with topical nasal decongestants and paracetamol for symptomatic relief.

In conclusion, the treatment of sinusitis involves a combination of antibiotics for bacterial infections, adjunctive therapies to facilitate sinus drainage, and pharmacologic agents for symptom relief. Chronic cases may require more extensive treatment, including surgery, especially in patients with underlying conditions like cystic fibrosis. The effectiveness of medical management in chronic sinusitis suggests that surgery is often a last resort.

How is sinusitis treated?

Summary

Sources and full results

Adjuncts to Medical Management of Sinusitis

Adjunctive measures can enhance the effectiveness of medical treatment for sinusitis, promoting drainage and preventing recurrence.

Antibiotics for acute maxillary sinusitis.

Penicillin or amoxicillin for 7 to 14 days is recommended for acute maxillary sinusitis, with radiographic improvement, but clinicians should weigh the moderate benefits against potential adverse effects.

Treatment of chronic maxillary sinusitis in children.

Amoxicillin combined with decongestive nose drops, drainage of the maxillary sinus, or a combination of the two did not significantly differ in therapeutic effects for children aged 3-10 years with chronic maxillary sinusitis.

Management of chronic sinusitis in cystic fibrosis

Chronic sinusitis in cystic fibrosis patients can be managed with endoscopic sinus surgery, nasal irrigation, and tobramycin, reducing the risk of pneumonia after lung transplantation.

A focus on acute sinusitis in adults: changes in disease management.

Acute sinusitis management in adults requires drainage, antibiotic therapy, and specialist evaluation for persistent or recurrent cases.

Recognition and Management of Sinusitis

Sinusitis treatment focuses on controlling rhinitis and improving sinus ventilation and function, with surgery being necessary for chronic cases.

SINUSITIS : HOW TO RECOGNIZE AND TREAT IT

Sinusitis is a common disorder, with antibiotics, decongestants, and nasal steroids as mainstays of treatment for acute cases, and surgical drainage for chronic cases.

The usefulness of irrigation of the maxillary sinus in children with maxillary sinusitis on the basis of the Water's X-ray.

Irrigation of the maxillary sinus in children with maxillary sinusitis does not lead to a better cure, and antibiotics are recommended as a first treatment.

Sinusitis in an allergist's office: analysis of 200 consecutive cases.

Medical management of chronic sinusitis in an allergist's office effectively improves symptoms and signs in up to 84% of patients, with 6% requiring surgery.

[Sinusitis in general practice--treatment and referral].

Norwegian general practitioners and ear, nose, and throat specialists both prescribe penicillin for sinusitis, with tetracycline as a second choice, and most recommend topical nasal decongestants and paracetamol for alternative treatments.

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