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There are different therapeutic approaches for acute rhinosinusitis. Among other things, pain killers, decongestant nose drops or sprays to reduce the local swelling of the mucosa, topical steroids and phytotherapeutics can be used. In case of a bacterial rhinosinusitis, antibiotics are a typical therapeutic treatment. [4]
Often, chronic sinusitis can lead to anosmia, the loss of the sense of smell. [23] A 2005 review suggested that most "sinus headaches" are migraines. [24] The confusion occurs in part because migraine involves activation of the trigeminal nerves, which innervate both the sinus region and the meninges surrounding the brain. As a result ...
The surgeon can then remove any tissue or obstruction that is blocking the sinuses, such as swollen or infected tissue. FESS is generally considered to be a safe and effective treatment for sinusitis and other conditions that affect the sinuses. It can help to alleviate symptoms and improve the overall functioning of the sinuses.
A diagnosis of sinusitis also requires "some kind of objective finding," Lane says, which would be done with either a CT scan or nasal endoscopy showing swelling of the sinus lining, he says.
Xylometazoline, also spelled xylomethazoline, is a medication used to reduce symptoms of nasal congestion, allergic rhinitis, and sinusitis. [2] It is used directly in the nose as a spray or drops. [3] Side effects include trouble sleeping, irritation of the nose, nausea, nosebleed (3%), period pain (10%) and headache (3%).
Decongestants are also used to reduce redness in the treatment of simple conjunctivitis. A 2016 Cochrane review found insufficient evidence to support the use of intranasal corticosteroids in the relief of common cold symptoms; [ 2 ] however, the review was based on three trials and the quality of the evidence was regarded as very low.
Pseudoephedrine is indicated for the treatment of nasal congestion, sinus congestion, and Eustachian tube congestion. [39] Pseudoephedrine is also indicated for vasomotor rhinitis and as an adjunct to other agents in the optimum treatment of allergic rhinitis , croup , sinusitis , otitis media , and tracheobronchitis .
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