What Is the Connection Between Sinus Infection and Dizziness?

Paranasal sinusitis, or sinusitis, includes acute paranasal sinusitis and chronic paranasal sinusitis. It is a common disease of the rhinology, and most of them are chronic. The incidence of sinuses in the anterior group is higher than that in the posterior group, and the maxillary sinus is the most common. Paranasal sinusitis can occur on one or both sides. Can be limited to one sinus disease, can also involve multiple sinuses.

Basic Information

nickname: Sinusitis
English name: nasosinusitis, rhinosinusitis
Visiting department: Otorhinolaryngology

Common locations: nose
Common symptoms: Nasal congestion, pus and nasal discharge, headache, phlegm, sore throat, tinnitus, deafness
Contagious: no

Causes of paranasal sinusitis

Systemic factors

Excessive fatigue, cold and wetness, malnutrition, vitamin deficiency, etc. cause the decline of systemic resistance. Unclean living and working environments are common causes of this disease.

Local factors

(1) Nasal diseases such as acute, chronic rhinitis, nasal septum deflection, middle turbinate hypertrophy, allergic rhinitis, nasal polyps, nasal foreign bodies and tumors. All of the above diseases can block the sinus-oral-nasal tract complex, hinder the drainage and ventilation of the sinuses and cause paranasal sinusitis.

(2) Infective lesions of adjacent organs, such as tonsillitis and adenoiditis. In addition, apical infection of the 2nd premolar and the 1st and 2nd molars listed above, tooth extraction damage to the maxillary sinus, and residual caries fall into the maxillary sinus can all cause maxillary sinus inflammation.

(3) Traumatic sinus trauma A fracture or foreign body shot into the sinuses, improper swimming or diving, or forcefully blowing the nose into the sinuses, etc., can bring pathogenic bacteria directly into the sinuses.

(4) Iatrogenic nasal stuffings are left for too long, causing local irritation, secondary infections, and impeding sinus drainage and ventilation.

Clinical manifestations of paranasal sinusitis

Stuffy nose

The severity varies, mostly due to congestion and swelling of the nasal mucosa and increased secretions. Nasal congestion can often cause temporary olfactory disorders.

2.Sudden pus

The nasal discharge is mostly purulent or sticky, purulent, and pus may contain a little blood. People with anaerobic or E.coli infections have pus or foul odor. Pus can flow to the pharynx and throat, irritating the local mucosa and causing itching, nausea, cough and sputum.

3. headache

Chronic suppurative paranasal sinusitis is usually marked by localized pain or headache.

4. Other

As pus flows into the pharynx and breaths through the mouth for a long time, it is often accompanied by chronic pharyngeal inflammation, such as excessive phlegm, foreign body sensation, or sore throat. If it affects the eustachian tube, tinnitus, deafness and other symptoms may also be present.

Paranasal sinusitis examination

1. Local swelling and tenderness

Acute maxillary sinusitis manifests as redness, swelling and tenderness of the maxillofacial region, lower eyelid; acute frontal sinusitis manifests redness and swelling of the forehead, tenderness of the upper orbital angle, and anterior frontal sinus pain.

2. Anterior Rhinoscopy

Nasal mucosa is congested and swollen, especially in the middle turbinate and middle nasal passages. There is a large amount of mucopurulent or purulent nasal discharge in the nasal cavity. The anterior group of sinusitis can be seen with a mucopurulent or purulent substance in the middle nasal passages. The posterior group of sinusitis can be seen with olfactory fissure.

3. CT scan of paranasal sinuses

CT examination has become an important method for the diagnosis of paranasal sinusitis, and it is also one of a series of examinations that must be done before surgery for paranasal sinusitis. CT scans are divided into coronary scans and horizontal scans. Paranasal sinusitis often coexists with nasal polyps. CT can show the scope of nasal polyps and sinusitis, clearly show the fine structure of each sinus and its adjacent areas, and provide an important basis for doctors' diagnosis and treatment. CT also helps to distinguish paranasal sinusitis from other diseases such as sinus cancer.

Paranasal sinusitis treatment

Eradicate the cause, remove nasal cavity and sinus drainage and synchronic obstacles, control infection and prevent complications.

Acute purulent paranasal sinusitis

(1) Sufficient antibiotics or sulfa drugs to control infections and prevent them from becoming chronic and complication. Those who are clear about pathogens should choose sensitive antibiotics, and those who are not clear can choose broad-spectrum antibiotics. It is clear that patients with anaerobic infection should also use tinidazole or metronidazole.

(2) Local treatment Nasal decongestant 1% ephedrine saline.

(3) sedative pain medication for severe headache.

(4) Nasal irrigation Use a syringe or a special nasal irrigation device.

2. Chronic suppurative paranasal sinusitis

(1) Mainly for local treatment, nasal drops with vasoconstrictor can be selected, 1% ephedrine saline, nasal drops, etc. Dexamethasone and betamethasone can be added to the nasal drops. It should be noted that Dinasal Net should not be used for a long time to avoid drug-induced rhinitis.

(2) Maxillary sinus puncture and irrigation.

(3) Nasal surgery.

(4) Sinus surgery.

Paranasal sinusitis prevention

1. Should pay attention to regular physical exercise to enhance physical fitness.

2. You can wash your face with cold water every morning to enhance the adaptability and disease resistance of the nasal mucosa.

3. Pay attention to improving the living and working environment and reduce environmental pollution.

4. Prevent the onset of acute rhinitis, pay attention to climate change, and add or remove clothes in a timely manner.

5. To prevent the formation of paranasal sinusitis, use the correct method of blowing the nose, it is not appropriate to force the incorrect blowing of the nose, so as not to cause acute and chronic paranasal sinusitis.

6. Do not dig your nose with your hands, so as not to cause inflammation such as epistaxis.

7. Always keep your mood comfortable, physical and mental health, and reduce the incidence of various diseases.

8. Keep your stools open.

9. It is not advisable to use nasal drops with vasoconstrictive effect for a long time, such as ephedrine and nasal drops.