Chronic sinus infection; Chronic sinusitis
Symptoms may last for 3 months or more.
(in the front of the head or around the eyes)
around the eyes or in the forehead or cheeks
Pain in the roof of the mouth or teeth
(yellow, yellow-green, thick)
Signs and tests
The health care provider will examine you and tap lightly on your face over your sinuses. This method is called percussion . It may reveal tenderness in the area.
Normal sinuses glow when light shines directly onto them. (See: Transillumination ). If sinusitis is present, the sinuses will not glow when your doctor shines a light onto them.
Other tests that may be done include:
CT scan of the skull
MRI of the skull
These imaging tests may show ...
Complications Bacterial sinusitis is nearly always harmless (although uncomfortable and sometimes even very painful). If an episode becomes severe, antibiotics generally eliminate further problems. In rare cases, however, sinusitis can be very serious. Osteomyelitis. Adolescent males with acute frontal sinusitis are at particular risk for severe problems. One important complication is infection of the bones (osteomyelitis) of the forehead and other facial bones. In such cases, the patient usually experiences headache, fever, and a soft swelling over the bone known as Pott's puffy tumor. Infection of the Eye Socket. Infection of the eye socket, or orbital infection, which causes swelling and subsequent drooping of the eyelid, is a rare but serious complication of ethmoid sinusitis. In these cases, the patient loses movement in the eye, and pressure on the optic nerve can lead to vision loss, which is sometimes permanent. Fever and severe illness are usually present. Blood Clot. Blood clots...
Diagnosis Patients should see a doctor if they have sinusitis symptoms that do not clear up within a few days, are severe, or are accompanied by high fever or acute illness. Some doctors believe that too many patients are diagnosed with true sinusitis and given unnecessary antibiotics when their symptoms would actually resolve easily in days with over-the-counter medications or no drugs at all. The first goal in diagnosing sinusitis is to rule out other possible causes of symptoms, and then determine: The site where the infection has occurred Whether the condition is acute or chronic The organism causing the infection (if possible) Diagnostic Approach to Acute Sinusitis Medical History. The patient should describe all symptoms such as nasal discharge and specific pain in the face and head, including eye and tooth pain. After assessing symptoms, the doctor should take a thorough medical history of the patient: Any history of allergies or headaches Recent upper respiratory infection (colds, flu, i...
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