Complications of chronic sinusitis

Sinusitis brings troubles to many patients, and it is also particularly easy to cause various complications. Therefore, for patients, it is necessary to detect and treat it as early as possible. In addition, chronic sinusitis is generally difficult to treat, because it is particularly easy to relapse after treatment, and because of rhinitis, it is also particularly easy to catch a cold. So what are the complications of chronic sinusitis?

Sinusitis, especially chronic sinusitis, will cause a lot of pain to patients if not treated in time. Among them, the complications caused by chronic sinusitis is one of them. The complications of chronic sinusitis deserve attention.

1. Intracranial complications: When complicated with epidural abscess, the symptoms are not typical and the diagnosis is difficult. In addition to nasal symptoms, there may be worsening headache (especially in supine position), nausea, vomiting, slow pulse, etc. When complicated with subdural abscess, the subjective symptoms include headache, fever and meningeal irritation signs. In severe cases, paralysis or convulsion of the contralateral facial and upper limb muscles may occur, and rupture of the abscess may cause purulent meningitis.

2. Osteomyelitis: Chronic suppurative sinusitis that does not heal for a long time can easily cause osteomyelitis of the skull, sphenoid, ethmoid, and maxillary bones. It is common in frontal bone osteomyelitis. In addition to tenderness in the sinus area, the headache is characterized by dull pain like stuffiness and distension. If osteomyelitis does not heal for a long time, there may be yellow-green nasal discharge, and X-rays may show unclear bone structure, dead bone formation, and defects in the sinus bone wall.

3. Lesions and descending infections: Purulent secretions from the sinuses flow downward from the nasopharynx, which can cause pharyngitis, tonsillitis, otitis media, tracheitis and other diseases. Purulent sinusitis, as an infection focus, can also cause infectious arthritis, tenosynovitis and skin diseases.

To sum up, we have some understanding of the complications of chronic sinusitis. Understanding the complications of chronic sinusitis will help us further understand this disease and pay enough attention to it.