There are 2 types of chronic sinusitis:
1. Non-allergic, infective, and
2. Allergic complicated with infection.
Non-allergic, infective chronic
sinusitis is due to frequently repeated
and inadequately treated acute sinusitis.
It manifests with a headache in the
frontal region, nasal obstruction, nasal
discharge and loss of the sense of smell.
In cases of non-allergic, infective
chronic sinusitis there may also be
present symptoms including: cough, dry
throat, mucous secretion in the throat
when you stand up in the morning, etc.
Allergic chronic sinusitis has an
unknown cause but it is always complicated
with infection because of drainage of the
disturbed sinuses. It has the same
symptoms as not-allergic sinusitis plus
some vasomotor reactions.
Diagnostic procedures for both types of
chronic sinusitis are anterior rhinoscopy,
X-ray (Hirtz) of the sinuses, CT-scan,
diagnostic punition and skin tests for
hypersensitivity.
Therapy and treatment of chronic
sinusitis includes: antibiotics; local
decongestives; anti-allergic drugs and
procedures (antihystaminics,
desensibilisation), punition, and surgery
(polypectomia, resection of the nasal
septum, trepanation etc.).
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