How to Treat Maxillary Sinusitis?

Frontal sinusitis, similar to many other inflammatory conditions, is mainly caused by infection, including sinus-related infection, nasal cavity-related infection, and infection of adjacent tissues. Symptoms may include headache or local pain. Timely treatment is essential for frontal sinusitis. If not properly treated in the early acute stage, it may develop into a chronic condition, which can be challenging to manage. Let's explore the treatment options and causes of frontal sinusitis.

1. Treatment measures for acute maxillary sinusitis include:

(1) General treatment with a light diet.

(2) Antibiotic medication.

(3) Vasoconstrictor.

(4) Antihistamine drugs.

(5) Symptomatic treatment.

2. In addition to the above measures, chronic maxillary sinusitis may also require surgical intervention:

(1) Maxillary sinus puncture and irrigation.

(2) Maxillary sinus fistula.

(3) Maxillary sinus fistula through the infraorbital canal.

(4) Radical operation of the maxillary sinus.

(5) Functional endoscopic sinus surgery. This procedure involves opening the middle or inferior nasal meatus under endoscopy to remove pathological lesions in the maxillary sinus and establish smooth drainage. It is widely accepted due to minimal trauma and good preservation of nasal mucosal function.

1. Weakened overall resistance, anemia, hypoproteinemia, hypogammaglobulinemia, diabetes, and malnutrition.

2. Local anatomic factors, such as obstructed sinus drainage. The natural opening of the maxillary sinus varies widely in the middle nasal meatus and is prone to obstruction, which can be caused by factors like a hooked process, hypertrophy of the middle turbinate, vesicular middle turbinate, high deviation of the nasal septum, and nasal polyps. These can hinder the opening of the maxillary sinus and affect its ventilation, drainage, and mucociliary clearance function.

3. Ethmoid sinus infection. The lower air cells of the anterior ethmoid sinuses extend to the internal superior angle of the maxillary sinus, where the bone wall is very thin, and infection can easily spread to the maxillary sinus. Additionally, purulent secretions from ethmoid sinusitis can flow into the maxillary sinus through the middle nasal meatus, which is also a common cause.

4. Nasal allergic reactions. Mucosal edema and dysfunction of ciliary elimination in the maxillary sinus can lead to obstructed sinus ventilation and drainage, resulting in chronic inflammation. This is a condition where allergies and inflammation coexist.

5. Odontogenic infection.