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Home > West Medicine > ENT & Ophthalmology > ENT
J32.000

Chronic Maxillary Sinusitis

耳鼻喉科

Common symptoms

粘膜萎缩、鳞状上皮、头昏、囊肿、脓性分泌物、结痂

The pathology of disease

Chronic maxillary sinusitis is chronic inflammation of the maxillary sinus >12 weeks, often with nasal obstruction, purulent discharge, facial pressure/pain, and reduced smell. It may be bacterial, fungal (allergic fungal sinusitis), or structural. Treatment: intranasal corticosteroids; saline irrigation; treat allergy; amoxicillin-clavulanate if purulent/acute-on-chronic; treat dental source; endoscopic sinus surgery if refractory/mass/structural.

Common Symptoms

Nasal obstruction; purulent discharge; facial pressure; >12 weeks; reduced smell

Causes and Pathogenesis

Sinus ostial obstruction/bacterial/allergy/structural causes chronic mucosal inflammation.

Treatment

Intranasal steroids/saline; antibiotics if purulent; treat dental source; surgery if refractory

Preventive Measures

Treat allergy; saline; dental care; avoid smoking.

Department to Visit

It is recommended to visit the ENT department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.