The treatment of chronic sinusitis revolves around re-establishing ventilation and drainage of the sinus air cells. Nonsurgical options are utilized extensively and may include topical steroids, systemic steroids, newer anti-inflammatories, decongestants, allergy remedies, and antibiotics. Many patients are often treated with antibiotics, although the symptoms will recur unless sinus drainage and ventilation is somehow accomplished. If nonsurgical treatments are unsuccessful, sinus surgery becomes a treatment option.
Sinus surgery is performed using endoscopes (small telescopes) for visualization. Generally, no incisions are required. During surgery, the minimal amount of sinus tissue necessary is removed to re-establish ventilation and drainage of the sinus air cells. This is done in a very precise manner so that healing is quicker and scarring is minimized.
Patients are instructed in the proper technique for irrigating the sinuses which promotes a quicker post-operative recovery. In addition, close endoscopic monitoring and cleaning of the sinus cavities is required to help prevent recurrent sinus problems.
Medical management such as topical steroids, systemic steroids, newer anti-inflammatories, and antibiotics may also be necessary post-operatively to aid in achieving a successful outcome.