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钝痛、耳聋、鼻孔流脓、耳鸣、上列牙痛、鼻塞、嗅觉障碍、胀痛
Chronic purulent sinusitis is chronic purulent inflammation of the paranasal sinuses >12 weeks, with persistent purulent nasal discharge, nasal obstruction, facial pressure/pain, and reduced smell, often with polyps/allergy. Treatment: intranasal corticosteroids; saline irrigation; treat allergy; amoxicillin-clavulanate (culture-directed if recurrent); treat polyps (steroids/biologics); endoscopic sinus surgery if refractory/structural/mass; monitor for complications.
Purulent nasal discharge; obstruction; facial pressure; >12 weeks; polyps/allergy
Sinus ostial obstruction by allergy/polyps/structural causes chronic bacterial infection and inflammation.
Intranasal steroids/saline; antibiotics; treat polyps/allergy; surgery if refractory
Treat allergy/polyps; saline; avoid smoking.
It is recommended to visit the ENT/Allergy 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.
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