{"id":88,"date":"2019-01-29T11:17:31","date_gmt":"2019-01-29T19:17:31","guid":{"rendered":"https:\/\/mthoodent.com\/ent\/nose\/sinusitis\/"},"modified":"2021-11-02T15:59:05","modified_gmt":"2021-11-02T22:59:05","slug":"sinusitis","status":"publish","type":"page","link":"https:\/\/mthoodent.com\/ent\/nose\/sinusitis\/","title":{"rendered":"Sinusitis"},"content":{"rendered":"\r\n<p><strong>Sinusitis<\/strong> or sinus infection is an inflammation of the sinus cavities. The sinuses are hollow spaces in the bones around the nose that connect to the nose through small channels. When these channels are open, the sinuses can stay healthy. Sinusitis happens when a virus, bacteria or fungi causes the sinus cavity to become inflamed and fill with fluid leading to an infection.<\/p>\r\n\r\n\r\n\r\n<p>Sinusitis can affect all age groups and often occurs after a cold, allergic <a href=\"https:\/\/mthoodent.com\/ent\/nose\/chronic-rhinitis\/\" title=\"Rhinitis | Mt. Hood ENT &amp; Allergy\">rhinitis<\/a>, nasal polyps or a <a href=\"https:\/\/mthoodent.com\/ent\/nose\/deviated-septum\/\" title=\"Deviated Septum | Mt. Hood ENT &amp; Allergy\">deviated septum<\/a>. Symptoms of sinusitis include fever, weakness, fatigue, cough, congestion and mucus in the back of the throat.<\/p>\r\n\r\n\r\n\r\n<p>Sinusitis can become chronic and it\u2019s important to have it diagnosed and treated. Untreated sinusitis will lead to pain and discomfort and is not usually a cause for concern; however, it can lead to <a rel=\"noreferrer noopener\" href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/meningitis\/symptoms-causes\/syc-20350508\" target=\"_blank\" title=\"Meningitis | Mayo Clinic\">meningitis<\/a>, brain abscess or bone infection in very rare cases. If you or someone you care for is experiencing symptoms of sinusitis, contact us at <a href=\"tel:+15032573204\" class=\"phone \"> <span class=\"phNum\">(503) 257-3204<\/span><\/a> or <a href=\"https:\/\/mthoodent.com\/contact\/\" title=\"Contact Us | Mt. Hood ENT &amp; Allergy\">request a visit online<\/a>.<\/p>\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"common-causes-of-sinusitis\">Common causes of Sinusitis:<\/h2>\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Viral &#8220;cold&#8221;<\/li>\r\n<li>Bacterial infection<\/li>\r\n<li>Allergy induced mucosal inflammation<\/li>\r\n<li>Fungal infection<\/li>\r\n<li>Poor air quality &#8211; smoking, pollution<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p>Sinus symptoms overlap with several problems such as colds, <a href=\"https:\/\/mthoodent.com\/allergy\/\" title=\"Allergy | Mt. Hood ENT &amp; Allergy\">allergy<\/a>, migraine, dental problems and TMJ dysfunction. This makes accurate diagnosis challenging and diagnostic criteria have been developed.<\/p>\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"conventional-criteria-for-the-diagnosis-of-sinusitis\">Conventional Criteria for the Diagnosis of Sinusitis<\/h2>\r\n\r\n\r\n<p>Based on the Presence of at Least 2 Major or 1 Major and \u22652 Minor Symptoms<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Major Symptoms\r\n<ul>\r\n<li>Purulent anterior nasal discharge<\/li>\r\n<li>Purulent or discolored posterior nasal discharge<\/li>\r\n<li>Nasal congestion or obstruction<\/li>\r\n<li>Facial congestion or fullness<\/li>\r\n<li>Facial pain or pressure<\/li>\r\n<li>Hyposmia or anosmia (decreased smell)<\/li>\r\n<li>Fever (for acute sinusitis only)<\/li>\r\n<\/ul>\r\n<\/li>\r\n<li>Minor Symptoms\r\n<ul>\r\n<li>Headache<\/li>\r\n<li>Ear pain, pressure, or fullness<\/li>\r\n<li>Halitosis<\/li>\r\n<li>Dental pain<\/li>\r\n<li>Cough<\/li>\r\n<li>Fever (for subacute or chronic sinusitis)<\/li>\r\n<li>Fatigue<\/li>\r\n<\/ul>\r\n<\/li>\r\n<\/ul>\r\n\r\n\r\n<!-- <h2>Acute Sinusitis: Overview<\/h2> -->\r\n\r\n<!-- <var style=\"width:100{512587cfdc71f5618c57d2b382a91abb4859bde4390c4b50368423923e7f6312};padding-bottom:56.25{512587cfdc71f5618c57d2b382a91abb4859bde4390c4b50368423923e7f6312};display:block;\" data-presentation=\"5d572728-4ff8-458b-436f-422943d947d4\"><a href=\"\/\/eyemag.in\/RTa9pP\" style=\"display:none\">View Video<\/a><\/var><script type=\"text\/javascript\" src=\"\/\/www.showecho.com\/whitelabel\/embed_js\"><\/script> -->\r\n\r\n<!-- <h2>Chronic Sinusitis: Overview<\/h2> -->\r\n\r\n<!-- <var style=\"width:100{512587cfdc71f5618c57d2b382a91abb4859bde4390c4b50368423923e7f6312};padding-bottom:56.25{512587cfdc71f5618c57d2b382a91abb4859bde4390c4b50368423923e7f6312};display:block;\" data-presentation=\"b9e2eb7-4369-4ef9-4b34-45ce4fe74634\"><a href=\"\/\/eyemag.in\/bzqZPC\" style=\"display:none\">View Video<\/a><\/var><script type=\"text\/javascript\" src=\"\/\/www.showecho.com\/whitelabel\/embed_js\"><\/script> -->\r\n\r\n\r\n<p>Modified from Meltzer, E. O. and D. L. Hamilos (2011). &#8220;Rhinosinusitis diagnosis and management for the clinician: a synopsis of recent consensus guidelines.&#8221; Mayo Clinic proceedings. Mayo Clinic 86(5): 427-443.<\/p>\r\n\r\n\r\n\r\n<ol class=\"wp-block-list\">\r\n<li>Onset with persistent symptoms or signs compatible with acute rhinosinusitis, lasting for 10 days without any evidence of clinical improvement.<\/li>\r\n<li>Onset with severe symptoms or signs of high fever and purulent nasal discharge or facial pain lasting for at least 3\u20134 consecutive days at the beginning of illness, or<\/li>\r\n<li>Onset with worsening symptoms or signs characterized by the new onset of fever, headache, or increase in nasal discharge following a typical viral upper respiratory infection (URI) that lasted 5\u20136 days and were initially improving (\u2018\u2018double sickening\u2019\u2019).<\/li>\r\n<\/ol>\r\n\r\n\r\n\r\n<p><strong>2007 RSTF diagnostic criteria for Chronic Rhinosinusitis RSTF = Task Force on Rhinosinusitis.<\/strong><\/p>\r\n\r\n\r\n\r\n<p>Twelve or more weeks of 2 or more of the following symptoms<\/p>\r\n\r\n\r\n\r\n<ol class=\"wp-block-list\">\r\n<li>Mucopurulent drainage (anterior, posterior) or both<\/li>\r\n<li>Nasal obstruction (blockage)<\/li>\r\n<li>Facial pain-pressure-fullness<\/li>\r\n<li>Decreased sense of smell<\/li>\r\n<\/ol>\r\n\r\n\r\n\r\n<p><br \/>AND<\/p>\r\n\r\n\r\n\r\n<ol class=\"wp-block-list\">\r\n<li>Purulent mucus or edema in the middle meatus<\/li>\r\n<li>Polyps in the nasal cavity, and\/or<\/li>\r\n<li>Inflammation of the paranasal sinuses on imaging<\/li>\r\n<\/ol>\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"sinusitis-evaluation\">Sinusitis Evaluation:<\/h2>\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Complete history and physical examination to obtain accurate diagnosis<\/li>\r\n<li>Diagnostic testing if indicated:\r\n<ul>\r\n<li>Nasal endoscopy<\/li>\r\n<li>Sinus CT Scan<\/li>\r\n<li>Culture of sinus drainage<\/li>\r\n<\/ul>\r\n<\/li>\r\n<\/ul>\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"sinusitis-treatment-options-we-provide\">Sinusitis Treatment Options We Provide:<\/h2>\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Conservative Treatment\r\n<ul>\r\n<li>Most sinus infections will resolve without antibiotics<\/li>\r\n<\/ul>\r\n<\/li>\r\n<li>Antibiotics<\/li>\r\n<li><a href=\"https:\/\/mthoodent.com\/allergy\/allergy-symptoms-treatments\/\" title=\"Allergy Symptoms and Treatments | Mt. Hood ENT\">Allergy treatment<\/a> if indicated<\/li>\r\n<li>Endoscopic sinus surgery\r\n<ul>\r\n<li>Generally indicated for intolerable sinusitis symptoms despite maximal medical therapy.<\/li>\r\n<\/ul>\r\n<\/li>\r\n<\/ul>\r\n\r\n\r\n<!-- <h2>Chronic Sinusitis: Treatment Overview<\/h2> -->\r\n\r\n<!-- <var style=\"width:100{512587cfdc71f5618c57d2b382a91abb4859bde4390c4b50368423923e7f6312};padding-bottom:56.25{512587cfdc71f5618c57d2b382a91abb4859bde4390c4b50368423923e7f6312};display:block;\" data-presentation=\"7d85e311-4c0e-4941-415c-407f4f2646c7\"><a href=\"\/\/eyemag.in\/MXocbp\" style=\"display:none\">View Video<\/a><\/var><script type=\"text\/javascript\" src=\"\/\/www.showecho.com\/whitelabel\/embed_js\"><\/script> -->\r\n\r\n<!-- <h2>Sinus Surgery: Overview<\/h2> -->\r\n\r\n<!-- <var style=\"width:100{512587cfdc71f5618c57d2b382a91abb4859bde4390c4b50368423923e7f6312};padding-bottom:56.25{512587cfdc71f5618c57d2b382a91abb4859bde4390c4b50368423923e7f6312};display:block;\" data-presentation=\"430dc2e7-4ab9-4301-4dda-4a7349894ab7\"><a href=\"\/\/eyemag.in\/x2XBSy\" style=\"display:none\">View Video<\/a><\/var><script type=\"text\/javascript\" src=\"\/\/www.showecho.com\/whitelabel\/embed_js\"><\/script> -->\r\n\r\n\r\n<p>If you have sinusitis problems, please <a href=\"tel:+15032573204\" class=\"phone \"> <span class=\"phNum\">(503) 257-3204<\/span><\/a> or <a href=\"https:\/\/mthoodent.com\/contact\/\" title=\"Contact Us | Mt. Hood ENT &amp; Allergy\">request a visit online<\/a> with us.<\/p>\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"references\">References:<\/h2>\r\n\r\n\r\n<p><a href=\"http:\/\/www.entnet.org\/\" rel=\"noreferrer noopener\" target=\"_blank\" title=\"ENTnet.org\">American Academy of Otolaryngology\u2212Head and Neck Surgery<\/a>. One Prince St., Alexandria, VA 22314-3357, 1-703-836-4444. 2010 AAO-HNS\/AAO-HNSF<br \/>Rosenfeld, R. M., D. Andes, et al. (2007). &#8220;Clinical practice guideline: adult sinusitis.&#8221; Otolaryngology&#8211;head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery 137(3 Suppl): S1-31.<\/p>\r\n\r\n\r\n\r\n<p>Hsueh, W. D., D. B. Conley, et al. (2013). &#8220;Identifying clinical symptoms for improving the symptomatic diagnosis of chronic rhinosinusitis.&#8221; International Forum of Allergy &amp; Rhinology 3(4): 307-314.<\/p>\r\n\r\n\r\n<p><p>Call <span class=\"company-name \">Mt. Hood ENT &amp; Allergy<\/span> at <a href=\"tel:+15032573204\" class=\"phone \"> <span class=\"phNum\">(503) 257-3204<\/span><\/a> for more information or to schedule an appointment.<\/p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sinusitis or sinus infection is an inflammation of the sinus cavities. The sinuses are hollow spaces in the bones around the nose that connect to the nose through small channels. When these channels are open, the sinuses can stay healthy. Sinusitis happens when a virus, bacteria or fungi causes the sinus cavity to become inflamed&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":81,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"[phone format=none] | Sinusitis may just be a symptom of a condition. Diagnosis by ENT is the first step towards treatment. Schedule now. \r\n","_seopress_robots_index":"","schema":"<script type=\"application\/ld+json\">\r\n{\r\n  \"@context\": \"https:\/\/schema.org\",\r\n  \"@type\": \"FAQPage\",\r\n  \"mainEntity\": [{\r\n    \"@type\": \"Question\",\r\n    \"name\": \"What is a sinus infection?\",\r\n    \"acceptedAnswer\": {\r\n      \"@type\": \"Answer\",\r\n      \"text\": \"Sinusitis is inflammation and swelling of the tissues that line the sinuses. This interferes with normal mucus drainage, leading to breathing difficulties, pain and pressure. When the condition persists for 12 weeks or longer, it is considered chronic.\"\r\n    }\r\n  }, {\r\n    \"@type\": \"Question\",\r\n    \"name\": \"What causes sinusitis?\",\r\n    \"acceptedAnswer\": {\r\n      \"@type\": \"Answer\",\r\n      \"text\": \"Sinusitis is the number one reported chronic condition in the United States, affecting an estimated 37 million Americans. It\u2019s most often caused by an infection brought on by a cold or allergies, but may also be the result of nasal polyps, a deviated septum, trauma to the face, hay fever, complications from immune system disorders or tumors.\"\r\n    }\r\n  }, {\r\n    \"@type\": \"Question\",\r\n    \"name\": \"What are the symptoms of a sinus infection?\",\r\n    \"acceptedAnswer\": {\r\n      \"@type\": \"Answer\",\r\n      \"text\": \"Individuals suffering from sinusitis experience a variety of cold-like symptoms such as nasal congestion and discharge, postnasal drip, sore throat, facial pressure and swelling, loss of smell and taste, headache, fever, fatigue and bad breath.\"\r\n    }\r\n }, {\r\n    \"@type\": \"Question\",\r\n    \"name\": \"How is sinusitis diagnosed?\",\r\n    \"acceptedAnswer\": {\r\n      \"@type\": \"Answer\",\r\n      \"text\": \"In addition to a physical examination and a review of your medical history, your doctor will inspect your nasal passages for polyps and other abnormalities and check for inflammation and a buildup of fluid. Additional tests utilizing nasal endoscopy, CT scans, MRIs and allergy tests can be used to help confirm the diagnosis.\"\r\n }\r\n }, {\r\n    \"@type\": \"Question\",\r\n    \"name\": \"How is sinusitis treated?\",\r\n    \"acceptedAnswer\": {\r\n      \"@type\": \"Answer\",\r\n      \"text\": \"Treatments will vary depending upon the severity of your sinusitis and whether it\u2019s an acute or chronic condition. Saline nasal sprays and corticosteroids are useful for rinsing your nasal passages and relieving inflammation. Decongestants are a good short-term solution, but extended use can actually worsen the condition. Antibiotics are usually prescribed for bacterial infections. Antihistamines, nasal steroid sprays, saline washes and oral steroids all provide long-term relief. More permanent solutions such as immunotherapy (allergy shots) or surgery can bring relief to those suffering from chronic sinusitis.\"\r\n }\r\n }\r\n ]\r\n  }\r\n<\/script>","fname":"","lname":"","position":"","credentials":"","placeID":"","no_match":false,"name":"","company":"","review":"","address":"","city":"","state":"","zip":"","lat":"","lng":"","phone1":"","phone2":"","fax":"","mon1":"","mon2":"","tue1":"","tue2":"","wed1":"","wed2":"","thu1":"","thu2":"","fri1":"","fri2":"","sat1":"","sat2":"","sun1":"","sun2":"","hours-note":"","locid":"","rating":"","footnotes":""},"service_tags":[],"class_list":["post-88","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/mthoodent.com\/wp-json\/wp\/v2\/pages\/88","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mthoodent.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mthoodent.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mthoodent.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mthoodent.com\/wp-json\/wp\/v2\/comments?post=88"}],"version-history":[{"count":0,"href":"https:\/\/mthoodent.com\/wp-json\/wp\/v2\/pages\/88\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/mthoodent.com\/wp-json\/wp\/v2\/pages\/81"}],"wp:attachment":[{"href":"https:\/\/mthoodent.com\/wp-json\/wp\/v2\/media?parent=88"}],"wp:term":[{"taxonomy":"service_tags","embeddable":true,"href":"https:\/\/mthoodent.com\/wp-json\/wp\/v2\/service_tags?post=88"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}