Asthma Is The Dominant Factor For Recurrence in Chronic Rhinosinusitis

Allergy, asthma and chronic sinusitis

Chronic Rhinosinusitis

In a scientific study to identify risk factors affecting the risk of recurrence in patients undergoing endoscopic sinus surgery for chronic rhinosinusitis (CRS); they detected. In this study, it was emphasized that the presence of asthma was the most important factor in the recurrence of rhinosinusitis. Link to the scientific article published in "The Journal of Allergy and Clinical Immunology: In Practice" >>Asthma Is the Dominant Factor for Recurrence in Chronic Rhinosinusitis

Allergy may be at the center of chronic sinusitis. Allergic structure of the patient, swelling of the turbinates and sinus holes as a result of edema, chronic ventilation is not. In addition, the curvature of congenital or post-nasal structures, such as cartilage, may also cause chronic sinusitis as aeration defect. Smoking, poor socioeconomic status, irregular life and the use of various diseases and drugs that affect the immune system may facilitate the occurrence of chronic sinusitis.


Sinusitis, which presents with difficulty breathing due to nasal obstruction, is a disease that affects many people negatively. The state of inflammation of the sinus covering tissue is described as "sinusitis".

During the winter months, especially in heating houses, the air that dries thoroughly causes sinusitis to develop. Here are the symptoms of acute and chronic sinusitis.

Acute sinusitis may include nasal congestion, yellow, green or bloody nasal discharge, pain around the eyes, cheek pain that may be confused with toothache, a feeling of pressure on the face, increased face or headache by leaning forward, bad breath. Sometimes you may also have dry cough, mild fever or stomach upset. In chronic sinusitis, the duration of symptoms is longer than three months. Tension type headache, migraine, nasal obstruction due to cartilage curvature of the nose and seasonal allergy are mixed with sinusitis. Symptoms of the disease can be dark runny nose, nasal discharge, nasal congestion, inability to smell and increased cough, especially at night.

Acute sinusitis has fever, headache and runny nasal obstruction. The patient has difficulty even in smell. In chronic sinusitis there is a feeling of weight and fullness. The patient's speech, even the sound timbre may change.

Treatment of sinusitis

In the treatment of acute sinusitis, primarily washing the nasal saline with antibiotics and various antiinflammatory drugs can be done in patients who continue to increase their overall body resistance and complaints. Sinusitis may recur if there is a very severe nasal allergy and the patient is not followed up well after the surgery with medication.

Sinusitis treatment is made for cause. If it is thought to be related to colds, it is treated with nasal sprays and cold medications to reduce nasal edema. It is considered that a bacterial infection may be developed if the symptoms worsen after 7-10 days or if the symptoms worsen after the 5th day, and the antibiotic option that the definitive decision can be made by examination of the otolaryngologist is considered. Saline-carbonated waters prepared with clean water, ocean waters to be taken from the pharmacy or nasal washings with the help of saline can be used to clean the mouths of the sinuses.

- In cases where it is thought to be related to allergy, allergy drugs are added to the treatment.

- Dental infections should be treated.

- Precautions should be taken for reflux disease.

- Nutritional support should be provided and supplemented with missing vitamins and minerals. Especially vitamins A, C, D and E, selenium, zinc and magnesium are some of them.

What is chronic sinusitis?

Chronic sinusitis is a chronic disease that lasts at least 12 weeks and is characterized by nasal congestion, reduced smell, runny nose and nasal discharge, and pressure and pain on the face. These patients experience fatigue as well as symptoms. A patient with these symptoms can be diagnosed by sinus endoscopy or sinus tomography. In chronic sinusitis, structural abnormalities in the nose, foreign body, tumors and polyps may also play a role in allergy besides infection.

Risk factors for chronic sinusitis

The presence of the following factors may facilitate the occurrence of chronic sinusitis:
  • Blocked airways from asthma or allergies
  • Infection in the nose
  • A fungal infection
  • Deviated nasal septum (creating a blockage)
  • Polyp in Burrun
  • A weak immune system
  • Smoking or presence in polluted environments with high particle concentrations

Treatment of chronic sinusitis

The diagnosed patient is treated appropriately for the cause. Chronic sinusitis is one of the diseases that disrupt the comfort of life. Therefore, it must be treated. Surgical treatment may be considered in adult patients who do not respond to medication.

Similar links >> Causes, Treatment, Classification of Sinusitis / Endoscopic Surgery for Sinusitis Video

Source link >> Chronic Sinusitis

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

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