What Is It?

Sinuses are air-filled spaces behind the bones of the upper face: between the eyes and behind the forehead, nose and cheeks. The lining of the sinuses are made up of cells with tiny hairs on their surfaces called cilia. Other cells in the lining produce mucus. The mucus traps germs and pollutants and the cilia push the mucus out through narrow sinus openings into the nose.

When the sinuses become inflamed or infected, the mucus thickens and clogs the openings to one or more sinuses. Fluid builds up inside the sinuses causing increased pressure. Also bacteria can become trapped, multiply and infect the lining. This is sinusitis.

Sinusitis is either chronic (long-lasting or frequently returning) or acute (lasting three weeks or less and happening no more than three times per year). Acute sinusitis is extremely common. It affects about 14% of people in the United States every year. It usually is caused by an upper respiratory viral infection.

The inflammation and swelling of the lining of the sinuses can be triggered by:

• Viral infections, such as a common cold

• Allergies

• Air pollution and cigarette smoke

• Dental infections

• Narrowed nasal passages from nasal polyps

Symptoms

Common symptoms of acute sinusitis include nasal congestion, thick green nasal discharge, fever, headache, tiredness and facial pain. Some symptoms depend on which sinus is inflamed. For example:

• Frontal sinusitis (behind the forehead) can cause pain in the forehead and pain that gets worse when lying on your back.

• Ethmoid sinusitis (behind the bridge of the nose) can cause pain between the eyes, eyelid swelling, loss of smell, and pain when touching the sides of the nose.

• Sphenoid sinusitis (behind the eyes) can cause earaches, neck pain or headache at the top of the head or deep behind the forehead.

• Maxillary sinusitis (behind the cheeks) can cause pain in the cheeks, under the eyes, or in the upper teeth and jaw.