Acute Sinusitis.  The symptom commonly follows a cold and usually extends up to three weeks.

Chronic Sinusitis.  This condition develops after three weeks of acute sinusitis, and it is much more difficult to treat than acute sinusitis.

SYMPTOMS

Acute Sinusitis (typically, more than four infections per year):

• Green/yellow discharge

• Facial pressure

• High fever

• Upper tooth pain

• Congestion

Chronic (continuous infections):

• Congestion/nosebleeds

• Mild to moderate headaches

• Chronic sore throat and cough

• Chronic post nasal drip

• Bad breath/taste

• Constant fatigue/discomfort

TREATMENTS

Traditionally, acute sinusitis is treated with antibiotics and decongestants as well as antihistamines. Chronic sinusitis is treated the same way except it will require longer treatment in order to be effective. In addition, nasal steroid sprays or oral steroids may be prescribed.

If medications prove ineffective, a CT scan may be necessary to evaluate the sinuses. The nose and throat may also need to be examined using endoscopes.  Endoscopes are instruments that enable the physician to look inside the nose to help them evaluate patients more thoroughly without much discomfort to the patient.

If patients do not improve after weeks of traditional treatment, they may require sinus surgery. Depending on the diagnosis, sinus surgery may be extensive or can be a simple procedure, which utilizes KTP laser. The physician will determine what course of treatment is best for the patient.