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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