* His reasons
The sinuses are air-filled compartments found within the bones of the skull and because they surround the nose, they are also known as the paranasal sinuses. We each have four pairs of sinuses.
Each of these sinuses is lined with a membrane that secretes mucus, which is a light watery liquid, which passes freely from the sinuses towards the upper part of the nasal cavity. When the sinuses become inflamed, the mucus becomes thick and sticky, and therefore it cannot pass through the openings of the small sinuses called ostia, which lead towards the nose, and thus the fluid accumulates in the sinuses, leading to increased pressure and pain, then the bacteria enter to turn the fluid into pus and thus become infected with sinusitis.
* Causes of sinusitis. First, it is a defect in the openings of the sinuses due to their narrowing due to chronic allergies, or the use of unmetered drops, or pressure on them from the deviation of the nasal septum, or the shelves or the mucous membrane of the nose.
There are millions of bacteria and a variety of fungi inside the nasal cavity, which is a normal thing, but it takes advantage of any weakness or defect in the drainage of the sinuses to cause disease and complicate its treatment and recovery.
Therefore, the first step to treat the disease is to reopen the sinus emptying passages and then treat bacterial or fungal infections.
Sinusitis triggers
Cold: An adult suffers, on average, from two to three colds per year, while a child suffers from six to ten colds. Colds are caused by viruses, not bacteria, so antibiotics are not useful in treating them. However, viruses cause swelling of the nasal tissues and change the nature of the mucus, thus blocking the sinuses. You can improve it by blowing your nose thinly, and not using antibiotics.
Allergens include cigarette smoke and other fumes, changes in atmospheric pressure when flying or diving, and nasal polyps.
* Symptoms
1. Painful pressure is the main symptom and the pain depends on the location of the inflamed sinuses, as the pain is in the forehead when the frontal sinuses are inflamed, over the cheeks or in the upper jaw and teeth (maxillary sinuses), behind the eyes (criminal and sphenoid sinuses) or at the top of the head (sphenoid sinuses) ). Sinus pain usually increases when bending forward (for example, during prostration).
2. Nasal congestion, obstructive breathing, and the appearance of secretions in dark colors from the nose. Drops of mucus coming from behind the nose into the pharynx, and you feel an unpleasant taste that is often bitter, and you may have a bad smell in the mouth or a cough. You may also temporarily lose your sense of smell or taste, and eventually you may feel fever, aches, and fatigue.
* Diagnosis:
1. From the patient’s description of his symptoms.
2. Careful examination of the nose, especially the sinus openings.
3. The spiral CT scan has a role in diagnosing cases that do not respond to medication, or if there is doubt about the nature and type of inflammation, or if there is a suspicion that there are complications of the disease, or if the doctor decides to perform a endoscopic operation.. As for X-rays, they are less useful.
