Therapy
Acute viral sinusitis usually heals completely within a few days to weeks. Therapeutically, the use of decongestant medication is advisable, as well as the intake of painkillers and, if necessary, antipyretic drugs. The same applies to first-time acute bacterial infections.
If a bacterial cause of the disease is suspected, an antibiotic is also indicated. Nasal sprays based on cortisone can also combat the inflammation locally. In some cases, the course of the disease is prolonged, which becomes chronic and can then break out again and again (recurrent chronic sinusitis).
In the case of unsuccessful therapy attempts or above-average frequency of infections, a further step in the therapy concept is the surgical repair of the entire paranasal sinuses. This is usually done endoscopically through the nose (transnasal access), so that no large incisions are necessary. During the course of the operation, pus and excess secretion are removed, all sinuses are rinsed and any anatomical peculiarities that may promote inflammation are eliminated. These include, for example, benign mucous membrane proliferations (polyps) or a curved nasal septum. Part of the frequently inflamed mucous membrane can be removed, thus reducing the future risk of infection.
Prognosis
Inflammations of the ethmoid cells, which often affect small children, usually heal quickly and without complications. In very rare cases, it can spread to neighboring organs, such as the eye socket or even the meninges or brain. Without treatment, there is also the risk of periostitis.
