Sphenoid Sinusitis

Sphenoid sinusitis is inflammation of the sphenoid sinus, either acute (bacterial, with deep/occipital headache/fever) or chronic (>12 weeks, with persistent headache/postnasal drip). Treatment: acute - amoxicillin-clavulanate; decongestants; analgesics; saline; watch for intracranial/orbital complications. Chronic - intranasal corticosteroids; saline; treat allergy/polyps; antibiotics if purulent; endoscopic sphenoidotomy if refractory.

Common Symptoms

Deep/occipital headache; retro-orbital pain; postnasal discharge; by acute/chronic

Causes and Pathogenesis

Sphenoid-ostium obstruction causes bacterial/inflammatory sinusitis.

Treatment

Antibiotics (acute); intranasal steroids/saline (chronic); treat polyps/allergy; surgery if refractory

Preventive Measures

Treat allergy/polyps; saline; 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.