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Sinusitis Bronchial

Bronchitis is a condition that refers to inflamm... [read more]


Sinusitis Scar Tissue

Sinusitis can result in sinusitis scar tissue ei... [read more]


Sinusitis Disease

There are a few serious genetic diseases that pr... [read more]



Sinusitis Scar Tissue


Sinusitis can result in sinusitis scar tissue either from chronic sinusitis, multiple FESS surgeries, multiple nasal polyp surgeries as well as complications from conditions such as Churg Strauss Syndrome, cystic fibrosis, sarcoidosis, syphilis, and vasculitis.  Damage to the nasal septum can occur from previous nasal surgery or diseases.  When there is damage to the nasal septum it reduces the blood supply to the area and the cartilage begins to die resulting in a hole.  Surgical techniques can be employed to close the perforation, utilizing tissue from inside the nose or another body part (autograft) to close the hole. 

Sinusitis is inflammation of the sinuses caused by a blockage in the sinus cavity that stem from the presence of foreign debris in the sinus passages.  “Sinus Infection or sinusitis, is an inflammation of the sinuses and nasal passages.  Sinus infections can cause headache or pressure in the eyes, nose, cheek area, or on one side of the head. A person with a sinus infection may also have a cough, a fever, bad breath, and nasal congestion with thick nasal secretions.  Sinusitis is categorized as acute (sudden onset) or chronic (long term, the most common type).”   A sinusitis infection is recognized by the blockage which causes inflammation or swelling of the lining in the sinus passages and cavities.   In addition, those affected with a sinusitis infection sometimes report an increased sensitivity or headache when they lean forward.  Other less typical symptoms include pain and pressure in the ears, fatigue as well as dental pain.

Standard surgery protocol: FESS

Sinusitis surgery is a standard treatment method when all other methods for sinusitis have failed.  Chronic sinusitis patients are the most common recipients of sinus surgery as well as those patients requiring polyp removal.  The largest population at risk for sinusitis scar tissue are those who suffer with chronic sinusitis patients and recurrent nasal polyps.  Blocked sinuses are very uncomfortable as pressure builds in the swollen sinus cavities.  Treatments that result in drainage will produce symptom relief as well as alleviate the blockage and severe congestion.  “Drainage is the act or process of drawing off fluids from a cavity or wound by means of suction or gravity.”  When physicians have failed in eradicating the sinusitis infection, sinus surgery will often be recommended.  Sinus surgery is painful and only clears out a portion of the sinus infection.  Patients who have had previous sinus surgeries also known as a functional endoscopy Sinus Surgery (FESS) typically require future sinus surgeries.

The risks of sinus surgery are varied and include orbital cranial haemorrhage, abscess, damage to the optic nerve, meningitis, ansomia, and injury to the lacrimal duct.  Highly experienced surgeon’s are required with FESS which is a delicate surgery, depending on the degree of complications present. 

What sinus surgery entails

FESS (functional endoscopic sinus surgery) is the keystone surgical treatment for sinusitis and nasal polyps.  Fess is typically performed under local or general anesthesia, and lasts approximately two hours as an inpatient procedure.  In traditional sinus surgery, an opening is made into the sinus.  “The openings may be made from the inside of the mouth or through the skin of the face.”  Fess is a newer surgical procedure that typically utilizes a nasal endoscope to clear and enlarge the maxillary ostium by removing the obstructing tissue or swollen mucous membranes and polyps.  Patients may be prescribed an oral antibiotic prior to surgery prophylactically or to address a current sinus infection.  At least four persons are involved in the actual procedure.  The ENT Surgeon, an anesthesiologist, and two nurses.  Patients are advised to stop taking any aspirin or advil prior to surgery.  The goal of sinus surgery is to remove the tissue that is blocking the sinus and to increase drainage. The surgeon’s purpose during a FESS is to remove any diseased tissue obstructing the sinuses and causing infection.  At the same time, the surgeon seeks to avoid removing normal healthy tissue.  Recovery time depends on the amount of tissue removed.  During the FESS a surgeon may utilize a video camera and the eyepiece of the endoscope.  In addition, lasers and microdebriders may be utilized to remove tissue.  Lasers cause more swelling but also result in a bloodless removal of swollen tissue.

  • Postoperative FESS entails packing in the nose with gauze to absorb the blood and drainage.  Patients are traditionally told to change packing several times a day or they are instructed to leave packing in place for a few days.  In addition, patients are instructed to avoid any strenuous physical activities especially blowing the nose and bending over for a few days. 
  • Surgical treatment for sinusitis should only be considered when all other conservative methods, such as home treatment and medications have failed. Sinus surgery has some considerable risks, such as:  heavy bleeding, leakage of fluids that surround the brain and spinal cord, inflammation of the membrane that covers the brain, blindness and death.  Although endoscopic surgery is widely performed, extreme care is required due to the close proximity of the paranasal sinuses to the brain and internal carotid arteries. 

Nasal polyps also known as polypoidal masses are commonly occurring teardrop- shaped growths that develop in the mucous membranes of the nose and paranasal sinuses that occur in those over the age of 40 and affecting more men than women often requiring surgery after steroid treatment has failed.  Nasal polyps have a 70% reoccurrence rate, block airways, contribute to mucus production, interfere with smell (hyposmia), congestion, asthmatic symptoms, postnasal drip, and cause facial pain.  Those who suffer with chronic sinusitis and certain diseases such as cystic fibrosis are more likely to develop nasal polyps and thus will likely require a surgery.

The treatment options available for a sinusitis infection include over the counter decongestants, antihistamines, expectorants, and nasal sprays as well as an oral antibiotic.  Decongestants function by shrinking swollen mucous membranes that are in the nasal passageways and sinus cavity openings and provide symptom relief.  The purpose of a decongestant is to allow for easy breathing during a sinus infection, unblocking the airways.  A dependency on nasal sprays can easily develop which may require steroids to assist with the withdrawal period as well as reducing inflammation with a resulting rebound effect. 

Avoiding surgery: using the best treatment

Sinus Dynamics offers the most innovative treatment for sinusitis infection currently on the market with custom compounded antibiotics, anti-fungals, and anti-inflammatories that are delivered directly into the sinus cavities with a state of the art nebulizer that produces a pressurized aerosolized mist.  Sinus Dynamics nebulizer emits a fine medicated mist with 3.2-micron particle size that can rapidly enter the inflamed sinus cavities, depositing medication and making contact with the infection directly. The aerosolized medicated mist is sent up into nasal passages reaching the actual site of the sinusitis infection, fighting the infection on contact.  Sinus Dynamics treatment approach is painless and effective in treating chronic sinusitis.  Sinus Dynamics’ topical approach to treating sinusitis is particularly effective as medications that are topically applied result in little to no side effects and ensure a low systemic absorption rate as well as reaching the site of infection unlike the other treatment methods prescribed.  Call Sinus Dynamics (877) 447-4276 to begin your sinus therapy which is highly effective, easy to use, and safe with a 98% success rate in the treatment of patients who are suffering with sinusitis. 


 
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