Chronic sinusitis treatment

The article was professionally consulted with Specialist Doctor II Nguyen Van Thai - Ear, Nose Throat Doctor - Department of Medical Examination & Internal Medicine - Vinmec Danang International General Hospital.

Medical treatment for sinusitis is indicated when the nasal mucosa - sinuses have not been degraded much, the sinus opening has not been blocked. The indications for treatment usually include antibiotics, anti-inflammatory, local vasoconstrictor, washing with physiological saline.

Specifically, the medical treatments for inflammation in the different sinuses are as follows:
1.1 Chronic maxillary sinusitis Antibiotics are indicated:
● Amoxicillin (Clamoxyl) 0.5g: Quantity 2 tablets , drink 2 times/day.
● Cefadroxil (Biodroxil) 0.5g: Quantity 2 tablets, taken 2 times/day.
● Cefuroxim (Zinnat, Zinmax, Cefuroxim) 0.25 - 0.5g: Quantity of 1 tablet, taken 2 times/day.
● When there is an anaerobic bacterial infection, use: Metronidazol (Flagyl) 0.25g, the amount of 2 tablets, taken 2 times / day or intravenous infusion 500mg / 100ml 2 times / day.
Antiallergic drugs are indicated:
● Cetirizine 10mg (Zyrtec, Cetirzin): Quantity 1 tablet, taken 1 time/day.
● Loratadin 10mg (Clarityne, Alertin): Quantity 1 tablet, take 1 time/day.
● Fexofenadine (Telfast, Allerfast) 60mg: Quantity 1 tablet, taken 2 times a day.
● Pheramin (Allerfar) 4mg: Quantity of 1 tablet, taken 2 times a day.
Combined with maxillary sinus lavage every 2 days.
1.2 Chronic frontal sinusitis ● Amoxicillin (Clamoxyl) 0.5g: Quantity 2 tablets, taken 2 times/day.
● Cefadroxil (Biodroxil) 0.5g: Quantity 2 tablets, taken 2 times/day.
● Cefuroxim (Zinnat, Zinmax, Cefuroxim) 0.25 - 0.5g: Quantity of 1 tablet, taken 2 times/day.
● When there is an anaerobic bacterial infection, use: Metronidazol (Flagyl) 0.25g, the amount of 2 tablets, taken 2 times / day or intravenous infusion 500mg / 100ml 2 times / day.
Indicated anti-inflammatory drugs:
● Alphachymotrypsine or lysozyme (Noflux 90mg): Quantity 2 tablets, taken 2 times a day, for 5 days.
Anti-allergic drugs are indicated:
● Cetirizine 10mg (Zyrtec, Cetirizine): Quantity 1 tablet, taken 1 time/day.
● Loratadine 10mg (Clarityne, Alertin): Quantity of 1 tablet, taken 1 time/day.
● Pheramin (Allerfar) 4mg: Quantity of 1 tablet, taken 2 times a day.
Anti-congestive and runny nose:
● Actifed: Quantity of 1 tablet, taken 2-3 times a day, within 10 days.
Pain relievers:
● Paracetamol (Panadol, Efferalgan) 0.5g: Quantity of 1 tablet, taken 2 times a day, within 3 days.
Nasal nebulizer:
● Dexacol and Melyptol are used once a day, or more depending on the disease condition.

1.3 Chronic ethmoid sinusitis ethmoid sinusitis is treated in the same way as frontal sinusitis. Also, in addition to using the Proetz method.
1.4 Chronic sphenoid sinusitis Sphenoid sinusitis is treated with the same medical treatment as the diseases mentioned above. However, when the condition is more severe, that is, drug treatment is not effective, the next method used is surgical treatment to perform sphenoid sinus opening.

Recommended video: Thorough treatment of sinusitis

When long-term drug treatment and many courses are still ineffective, the last resort is surgical intervention. With today's advanced technology, more and more customers choose endoscopic sinus surgery.

Some surgical methods commonly applied in the treatment of sinusitis include curettage of the VA, removal of nasal polyps, deviated septum, and drainage of secretions.
In the case of patients with polypoid degenerative sinusitis, surgery will usually be indicated. Surgery depends on the polyp location, if:
● Inflammation of the maxillary sinus and anterior ethmoid: Surgery to open the middle nasolabial space and the ethmoid.
Anterior and posterior ethmoid sinusitis: Surgical curettage.
● Frontal sinusitis: Surgery to open the forehead niche.
● Sphenoid sinusitis: Open sphenoid sinus surgery.
BSCK II Nguyen Van Thai was formerly a Doctor of Otolaryngology and Head and Neck Surgery at the Department of Otolaryngology - Hue Central Hospital with more than 17 years of treatment experience, especially in the field of Head and Neck Surgery. Currently, he is an Otolaryngologist at the Inter-Specialist Clinic of the Department of Medical Examination and Internal Medicine, Vinmec Da Nang International General Hospital.
Customers who need to examine and treat sinusitis at Vienmec International General Hospital, can directly go to Vinmec Health system nationwide for examination or contact the hotline here for support.

SEE ALSO:
Instructions to reduce sinusitis symptoms Do not be subjective with acute sinusitis Use nasal drops properly for people with sinusitis