Treatment of chronic sinusitis

The article was consulted professionally with Specialist Doctor II Nguyen Van Thai – Doctor of Ear Nose And Throat – Department of Medical Examination and Internal Medicine – Share99 Da Nang International Hospital.

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Chronic sinusitis is prescribed medical or diplomatic treatment depending on the degree of the disease. Either way, the purpose of treatment is to restore air circulation, drain the nasal – sinus drain and heal the mucous membranes.

1. Medical treatment

Medical treatment for sinusitis is indicated when the nasal – sinus mucosa has not degenerated much, the sinus vent has not been clogged. Treatment injuncularities usually include antibiotics, anti-inflammatory, local contractions, washing with physiological saline.

medical sinus treatment

Sinus mucosa that has not been much degenerative can be washed with physiological saline

Specifically, the medical treatments for inflammation in the sinuses differ as follows:

1.1 Chronic maxillary sinusitis

Antibiotics are in dinhed:

● Amoxicillin (Clamoxyl) 0.5g: Quantity 2, taken 2 times daily.

● Cefadroxil (Biodroxil) 0.5g: Quantity 2, taken 2 times daily.

● Cefuroxim (Zinnat, Zinmax, Cefuroxim) 0.25 – 0.5g: Quantity 1 tablet, taken 2 times daily.

● When there is an anemic bacterial infection, use: Metronidazol (Flagyl) 0.25g quantity 2 capsules, taken twice daily or intravenously 500mg / 100ml twice daily.

Antiallergenic drugs are in dinhed:

● Cetirizin 10mg (Zyrtec, Cetirzin): Quantity 1 tablet, taken once daily.

● Loratadin 10mg (Clarityne, Alertin): Quantity 1 capsule, taken once daily.

● Fexofenadine (Telfast, Allerfast) 60mg: Quantity 1 capsule, taken twice daily.

● Pheramin (Allerfar) 4mg: Quantity 1 capsule, taken twice daily.

Combined with sinus puncture of the jaw every 2 days.

1.2 Chronic frontal sinusitis

● Amoxicillin (Clamoxyl) 0.5g: Quantity 2, taken 2 times daily.

● Cefadroxil (Biodroxil) 0.5g: Quantity 2, taken 2 times daily.

● Cefuroxim (Zinnat, Zinmax, Cefuroxim) 0.25 – 0.5g: Quantity 1 tablet, taken 2 times daily.

● When there is an anemic bacterial infection, use: Metronidazol (Flagyl) 0.25g quantity 2 capsules, taken twice daily or intravenously 500mg / 100ml twice daily.

Anti-inflammatory drugs are in dinhed:

● Alphachymotrypsine or lysozyme (Noflux 90mg): Quantity of 2 capsules, taken twice daily, for a period of 5 days.

Antiallergenic drugs are in dinhed:

● Cetirizin 10mg (Zyrtec, Cetirizin): Quantity 1 tablet, taken once daily.

● Loratadine 10mg (Clarityne, Alertin): Quantity of 1 capsule, taken once daily.

● Pheramin (Allerfar) 4mg: Quantity 1 capsule, taken twice daily.

Anti-congestion and runny nose:

● Actifed: Quantity of 1 round, taken 2-3 times daily, within 10 days.

Analgesgesy:

● Paracetamol (Panadol, Efferalgan) 0.5g: Quantity 1 tablet, taken twice daily, within 3 days.

Nasal air:

● Dexacol and Melyptol are used once a day, or more depending on the condition.

1.3 Chronic sinusitis

Sinusitis is treated in the same way as frontal sinusitis. In addition, add to that the use of the Proetz method.

1.4 Chronic butterfly sinusitis

Butterfly sinusitis is treated medically similar to the a above-mentioned sinusitis diseases. However, when the condition worsens, i.e. drug treatment is ineffective, the next measure used is the surgery to open the butterfly sinuses.

Recommended video: Radical treatment of sinusitis

2. Medical treatment

When long-term and multiple-course drug treatment is still ineffective, the last measure used is surgical intervention. With the current advanced technology, more and more customers choose the method of endoscopic sinus surgery.

laparoscopic sinus surgery

Surgery by endoscopic sinuses

Some of the surgical methods commonly used in the treatment of sinusitis include VA scraping, nasal polyps removal, septum scoliosis, draining secretion.

In the case of patients with polyp degenerative sinusitis will usually be prescribed surgery. Surgery depends on the polyp location, if:

● Maxillary sinusitis and pre-sieve: Surgery to open the middle nasal slit and sieve ball.

● Sinusitis before and after: Surgical screening.

● Frontal sinusitis: Open forehead surgery.

● Butterfly sinusitis: Butterfly sinus open surgery.

Dr. Nguyen Van Thai is a former Doctor of Ear Nose and Throat Surgery at The Department of Ear Nose and Throat – Hue Central Health Hub with more than 17 years of treatment experience, especially in the field of Head and Neck Surgery. Currently an Entotologist at the Interdisciplinary Clinic of the Medical and Internal Medicine Department of Share99 Da Nang International Health Hub.

Customers wishing to see and treat sinusitis at Vienmec International Health Hub, can directly go to Share99 Health System nationwide for examination or contact the hotline here for assistance.

SEE MORE:

  • Instructions for symptomatic reduction of sinusitis
  • Do not be subjective to acute sinusitis
  • Proper use of nasal drop for people with sinusitis
SEE MORE:

  • Rubella disease: Causes, symptoms, complications and precautions
  • Understanding allergic granuloma and vascular inflammation
  • X-ray of the sinus nose and things to know

About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

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