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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...
Did you know that nearly 90% of what people think are sinus headaches are actually Migraines? These are some of the symptoms that make people think they have a sinus headache:
runny nose or nasal congestion
red or puffy eyes
facial pain or pressure
All of those can be Migraine symptoms. A Migraine can inflame the trigeminal nerve. The trigeminal nerve has branches in the face, One runs above they eyes, one runs along the sinuses, and the third runs along the lower jaw. As a result, the pain may be felt near the sinuses, which are air pockets between bone in the lower forehead, cheeks and behind the nose. You can see a diagram of this in Pathways of Migraine . Sinus headaches rarely occur unless you have a sinus infection
For more information, see:
Sinuses Giving You a Headache? It's Probably Migraine.
See how much you know about types of and Migraines / headaches in our quiz:
Identify the Type of Migraine or Headache .
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 ...
You should know
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