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SINUS PROBLEMS MAY REQUIRE A VISIT TO THE SPECIALIST By: Todd A. Schneiderman, M.D. F.A.C.S. Sinusitis is such a common prob- lem that almost everyone has experienced congestion, facial pain and runny nose. Most will do well with comfort measures only, or a trip to the doctor for a course of antibiotics. But what about those who continue to experience these symptoms, without relief, for weeks or longer? When these symptoms do not go away, what else can be done? Many cases of sinusitis, formally called rhinosinusitis, are viral, and comfort measures usually suffice. Staying well hydrated by drinking a lot of water, taking pain relievers, and getting rest is often all that is needed. If a bacterial infection is present, antibiotics are helpful. Fever, severe facial and tooth pain, and dark, thickenened mucous may indicate bacterial infection. Antibi- otics act against these infections directly. But other medicines help, too. Decongestants can be used to help the sinuses clear the infection more quickly. Over the counter nasal saline is used to wash the nose, clearing the mucous and crusting that can block the airway. This also may help clear the infection more rapidly. Some physicians will pre- scribe nasal steroid sprays and anti- histamines as well. But these treat- ments do not always work. Other problems may be present that can make these measures less successful. The nasal septum, the wall separating the left and right nasal passages, may be severely deviated, or twisted. This can block air flow. Polyps may be present, decreasing the natural drainage of the sinuses. Underlying inhalant allergy, to trees, grass, mold, or dust, may play a role. When the patient does not follow an expect- ed course of improvement, other options must be considered. Most patients are treated medically for several weeks if they don't get better with an initial treatment. Surgery is considered in the sinusi- tis patient after medical measures are no longer of benefit. This is directed to the patient’s specific nasal and sinus anatomy, and may consist of opening the sinus pas- sages and straightening the sep- tum to open the nasal airway. A sinus CT scan is done prior to sur- gery to evaluate the specific site of the problem. The surgery can be done as an outpatient, with small telescopes, through the nostrils. Most patients find great relief fol- lowing this procedure. A bad cold is really a terrible expe- rience. Although the facial pres- sure, congestion and fatigue are rarely life threatening, frequent episodes can impair your quality of life. Most people simply expect to get over it, and feel better after a few days. But some experience these symptoms for weeks or longer. For these patients, sinus surgery can offer significant long term relief. For more information and descrip- tions of various nasal and sinus conditions please look on the web: www.drschneiderman.com 215 Union Avenue, Suite C Bridgewater, NJ 08807 908-725-5050 Smiles Unlimited Dental Center MOST INSURANCE PLANS ACCEPTED Emil T. Kesler, DDS Valentina M. Kesler, DDS We speak Ukranian, Polish, Russian, Slovak, Hungarian – and of course, English! 908.722.5511 60 South Main Street • Manville (Across from Bank of America) www.smilesunlimited-dental.com LATE EVENINGS AND SATURDAY APPOINTMENTS AVAILABLE FREE Consultation (Value of $60) for Future Dental Treatments Our patient’s needs always come first!PAGE 61