Generally, all ventilation disorders of the paranasal sinuses (concha bullosa, nasal septal deviations, etc.,) represent risk factors (
) for the development of any form of sinusitis. In addition, an immune deficiency or systemic diseases relevant to the immune system predispose to infections with atypical pathogens. Most sinusitis are caused by (
. Furthermore, sinusitis can be differentiated with regard to the affected paranasal sinuses.
In addition to conservative treatment options for chronic sinusitis (glucocorticoid nasal sprays, antibiotics, antimycotics, immunotherapy), surgical procedures (functional endoscopic sinus surgery) can also be considered. However, chronic sinusitis tends towards a high rate of recurrences. Therefore, in many cases only symptom control is achieved.
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“It is also important to consider atypical causes and disease connections (root canal treatment, aspergilloma) when dealing with chronic sinusitis. Interdisciplinary diagnostics and therapy are crucial for the successful treatment of this rare entity.”
References :
- Think outside the box – atypical infections in chronic sinusitis – (https://www.oncoscience.us/article/576/text/)
- Prevalence of chronic rhinosinusitis in the general population based on sinus radiology and symptomatology – (https://pubmed.ncbi.nlm.nih.gov/30578880/)
- Risk factors for chronic rhinosinusitis – (https://pubmed.ncbi.nlm.nih.gov/25479315/)
- Risk Factors and Comorbidities in Chronic Rhinosinusitis – (https://pubmed.ncbi.nlm.nih.gov/26800681/)
Source: Eurekalert
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