A blocked nose can be a major annoyance in the day and cause us to have poor sleep quality at night. Fortunately, most of the time, it is due to swollen turbinates, swellings at the side of the nose that help warm and humidify the air we breathe in. La sinusitis es una inflamacion de los senos paranasales, que son los espacios huecos llenos de aire en el craneo y huesos faciales alrededor de la nariz. Los sintomas de la sinusitis cronica generalmente son parecidos a la gripe, afeccion que suele ser producto de una infeccion viral y que a menudo se presenta acompanada por catarro o congestion nasal, estornudos, dolor de garganta, ojos acuosos y fiebre. En raras ocasiones, se puede contraer una infeccion bacteriana a consecuencia de una gripe, lo que deriva en sinusitis bacteriana aguda. En la sinusitis cronica, el revestimiento interno de los senos paranasales, llamado mucosa, se inflama e hincha.
En la evaluacion de la sinusitis cronica, el otorrinolaringologo realiza con una camara un examen  conocido como endoscopia nasal. Cuando alguien padece sinusitis cronica, por lo general primero se intenta reducir la inflamacion con tratamiento medico.
Si los medicamentos no bastan para aliviar los sintomas o controlar la inflamacion, entonces se podria requerir una cirugia.
Muchos cirujanos ya no colocan tapones de gasa despues de la operacion, lo que hace que la recuperacion sea mucho mas comoda que antes.
En muchos casos, la cirugia de los senos paranasales mejora significativamente los sintomas.
Si usted tiene polipos nasales o si su sinusitis cronica esta complicada por otros problemas respiratorios, como asma obronquitis, lo mejor es que un rinologo evalue su afeccion. Todo el contenido de Primicia Diario puede ser utilizado total o parcialmente siempre y cuando se cite a Primicia, ademas de reconocer por escrito el credito del respectivo autor. You will usually know that you have a sinus infection if you exhibit most of the symptoms listed above, or if you have had symptoms that have lasted for longer than 10 days. Healthcare providers use the symptoms listed above, a careful physical examination of your nasal and sinuses, as well as historical clues. Another clue that healthcare providers use to diagnose sinus infections is called the “Double Worsening.” This means that you became ill with sinus congestion and runny nose, then you began getting better, then you got worse again.
Occasionally, we will use a CT Scan or MRI to further evaluate if a sinus infection is causing your symptoms. My preferred method to prevent sinus infections is frequent sinus washing using the “Sinus Rinse” by NeilMed twice daily.
Nasal steroids like Flonase and Nasonex decrease swelling and allow sinus pockets to drain.
Expectorants like guaifenesin (Mucinex) break up mucous in order for it to drain through nasal passages. Non-Steroidal Anti-Inflammatory drugs like Ibuprofen (Motrin) and naproxen (Aleve) are great pain killers for sinus infections. Acetaminophen (Tylenol) is generally regarded as the safest pain reliever available as long as you do not have liver failure. Antibiotics – If you take antibiotics, your sinus infection will get better quickly, and the severity of your symptoms will be reduced. Usually it occurs after trauma to the nose, associated fractures to the nose or to facial structures.
Urgent incision and drainage and firm nasal packing to ensure adherence of the perichondrium to the cartilage. Dr Paulose FRCS, DLO is a Consultant ENT Plastic & Laser Surgeon with over 38 years of world class experience in Ear, Nose, Throat and Laser Surgery treating patients across the world from UK, US, Middle East to Asia. The lupus rash is a skin condition associated with the presence of the autoimmune disease called Systemic Lupus Erythematosus (SLE).
Lupus is an autoimmune inflammatory disease which means that a patient with the illness has antibodies that are faulty and attack the patient’s own tissue because they mistakenly identify these as foreign and unfamiliar.
The lupus rashes are primarily treated through the topical application of skin creams such as corticosteroids and antimalarial drugs like hydroxychloroquine and chloroquine. SLE patients with rashes should always put on sunscreen with high SPF values before getting exposed to sunlight.
Some people are born with a small dimple right in front of the ear, where the arch of the ear lobe inserts into the face. The portion of the cyst that is underneath the skin is also lined with normal skin tissues.
Most patients with preauricular cysts may never experience symptoms, or at least not manifest those symptoms until later in life.


It was previously recommended to remove all these preauricular cysts preventively before any symptoms develop. Cuando eso ocurre, los sintomas de la gripe empeoran despues de 7 a 10 dias y podria presentarse secrecion nasal de color amarillo o verde, dolor en la cara o dientes y fiebre. A pesar de que los sintomas de sinusitis cronica generalmente no incluyen fiebre, si puede haber secrecion nasal espesa de color generalmente verde o amarillo, junto con congestion nasal. A fin de realizar el examen, se introduce a traves de la nariz una sonda fina que contiene una diminuta luz y una camara en el extremo, llamada endoscopio, hasta los senos paranasales.
El especialista puede recomendar medicamentos, tales como los antibioticos, los esteroides nasales u orales, o un enjuague con solucion salina. La operacion, llamada cirugia endoscopica de los senos paranasales, implica expandir la abertura de estos  para permitir mejor drenaje y respiracion.
Por lo general, se realiza un procedimiento llamado desbridamiento pocos dias despues de la cirugia para limpiar las vias nasales y los senos paranasales. No obstante, incluso despues de la cirugia, muchas personas con sinusitis cronica todavia requieren tratamiento continuo, tal como usar ocasionalmente esteroides nasales y enjuagues nasales para mantener la buena salud de los senos paranasales.
El rinologo es un otorrinolaringologo especializado en trastornos nasales y de los senos paranasales. Mostly when we talk about sinuses in medicine, we are talking about the sinus cavities in the nose.
Common symptoms include fever, facial pain, headache, runny nose, painful lymph nodes in neck, loss of smell, bad breath, fatigue, dental pain, and coughing. A runny nose and nasal congestion are the main symptoms of a viral upper respiratory infection, so it is important to not take antibiotics when the cause of your symptoms is not a bacterial infection. If your symptoms have persisted for longer than 10 days, it is highly likely that you have a sinus infection. The likely cause of “Double Worsening” is that you initially got a viral infection (Rhinovirus) that blocked a sinus passage. These scans are generally reserved for atypical cases with unusual symptoms or for patients who get recurrent sinus infections. The NetiPot is also a great tool for sinus washing, but it is not as good as the “Sinus Rinse” product.
It is why surgeons always wash the area of operation with saline (salt water) before stitching the incision closed – in order to dilute out the bacteria and prevent infection.
The nasal steroids do not always help if you do not have allergies that are causing the inflammation.
These products work by decreasing the amount of mucous that your membranes make which is why it also causes dry mouth. Be careful with these medications if you have any other health conditions; please consult your healthcare provider. This statement is a shocker, and it is also hard for me to believe since antibiotics are prevalent in today’s society. If your symptoms do not improve while taking antibiotics after 48 hours, then you are likely suffering from a viral infection or you have an antibiotic-resistant bacteria causing the infection. It occurs when there has been a shearing injury causing the perichondrium to be stripped from the underlying cartilage.
If it happens after trauma, it should be aspirated immediately or can be incised with the aid of local anesthesia .Antibiotics and anti-inflammatory analgesics are recommended. As an autoimmune disease, SLE does not usually present itself with a predictable set of symptoms in each of the patients suffering from it, but its distinctive rash remains as a consistent sign in most SLE patients. The reactions that the antibodies make start up an inflammatory response, causing swelling and tissue damage to organs as well as to the skin. El analisis implica una visita al otorrinolaringologo o medico de oidos, nariz y garganta, para que examine los senos paranasales.
La sinusitis aguda dura hasta 4 semanas, pero cuando los sintomas continuan por mas de 12 semanas, la persona podria tener sinusitis cronica. Ademas, puede suscitarse un dolor sordo o presion en las mejillas, ojos, frente o parte posterior de la cabeza. En determinados casos, una exploracion portomografia computarizada tambien puede servir para evaluar los senos paranasales.
La cirugia suele realizarse con un endoscopio, completamente a traves de la nariz, y no deriva en ningun tipo de hinchazon ni moraduras. Las personas suelen notar gran mejoria en los sintomas despues de eso y la mayoria es capaz de reanudar sus actividades normales en ese momento.
A bacterial sinus infection is frequently initiated by a viral infection that lingers for too long.


There are numerous sinus pockets throughout the face, including in your cheekbones, inside your brows, between your ears, and behind your eyes.
Bacteria are naturally found throughout our nasal passages and sinus cavities since bacteria thrive in warm, moist environments. You began to recover from the viral infection while the bacteria in the blocked sinus were multiplying.
Sinus washing prevents sinus infections by allowing saline to get through the narrow sinus passages in order to wash out the bacteria and mucous that is trapped.
The packets are cheap (around 15 cents each) and found at your local pharmacy and grocery store. If you have allergies, be sure that you are using your nasal steroid regularly while you are ill because you have a higher chance of developing a sinus infection. One of the side effects of anti-histamine is sedation or fatigue as many people already know. However, penicillin was invented in 1928, and people were not dying very often of sinus infections. Unless corrected, necrosis results as the cartilage is dependent upon the perichondrium for its blood supply, by diffusion. If needed a small drain is sutured in place and silastic splints inserted before nasal packing. The lupus rash appears on areas of the skin which receives the most exposure to sunlight, such as on the face.
The rash in SLE patients is a result of the inflammatory process in combination with an abnormally increased sensitivity to the heat of the sun. With failure of medical treatment, radiofrequency of the inferior turbinates can be carried out to surgically shrink the turbinates.
La mayoria de casos de sinusitis cronica se controla con terapia medica, pero cuando los sintomas o la inflamacion no responden a la terapia, puede ser necesaria una cirugia.
No obstante, algunos casos de sinusitis cronica pueden desarrollarse sutilmente, sin una infeccion viral que la preceda.
Los sentidos del olfato y del gusto tambien pueden disminuir, y a veces, cuando la inflamacion es muy fuerte, pueden formarse polipos en la nariz. El procedimiento normalmente no es muy doloroso, aunque la persona puede sentir cansancio y congestion despues. Your sinuses are lined with tissue that constantly produces mucous in order to keep the tissue moist and healthy. However, they do not cause infections unless they are allowed to multiply without proper drainage. Sinus infections generally resolve after 10 – 14 days of symptoms although the symptoms will be more unpleasant without antibiotics. It is also known as a “butterfly rash” for the shape it assumes as it is spread horizontally across the patient’s cheeks and nose.
El objetivo del tratamiento es restablecer la salud y funcionamiento de los senos paranasales. Los polipos llenan las vias nasales y pueden ocasionar problemas para respirar, secrecion y cierto mal olor. People with allergies or a viral infection that causes inflammation of the nasal passages often block the small drainage tubes of the sinus cavities thus trapping mucous (see picture).
This is the same idea behind brushing your teeth twice daily instead of once per week for 20 minutes. Having the wrong mixture squirted into my sinuses made my entire head feel like it was on fire. Caution: Decongestants restrict blood flow everywhere which is why it raises your blood pressure and heart attack risk.
If you then take additional Tylenol, you may be at risk of damaging your liver from too much Tylenol.
While the mucous remains trapped, bacteria multiply in number and overwhelm the body’s ability to destroy them. Please use these products with care and consult your healthcare provider if you are unsure.



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