Sinusitis (cont.)Medical Author:
Charles Patrick Davis, MD, PhD
Charles Patrick Davis, MD, PhDDr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications. Medical Editor:
William C. Shiel Jr., MD, FACP, FACR
William C. Shiel Jr., MD, FACP, FACRDr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology. In this Article
What is a sinus?A sinus is a hollow, air-filled cavity. For the purposes of this article, a sinus will referred to those hollow cavities that are in the skull and connected to the nasal airway by a narrow hole in the bone (ostium). Normally all are open to the nasal airway through an ostium. Humans have four pair of these cavities each referred to as the:
The four pair of sinuses are often described as a unit and termed the "paranasal sinuses." The cells of the inner lining of each sinus are mucus-secreting cells, epithelial cells and some cells that are part of the immune system (macrophages, lymphocytes, and eosinophils). Functions of the sinuses include humidifying and warming inspired air, insulation of surrounding structures (eyes, nerves), increasing voice resonance, and as buffers against facial trauma. The sinuses decrease the weight of the skull.
What is a sinus infection?A sinus infection occurs when a pathogenic microorganism (virus, bacterium, or a fungus) grows within a sinus and causes intermittent blockage of the sinus ostium. Drainage of mucus and pus often occur when the blockage is relieved. The drainage usually goes from the nasal passages to the throat or out the nostrils. Such infections also cause inflammation (an influx of immune cells and swelling of the sinus tissue) of one or more sinuses. This can to block the openings of the sinuses and leads to discomfort. Inflammation of the air cavities within the passages of the nose (paranasal sinuses) is referred to as sinusitis. Sinusitis can be caused by infection, but can also be caused by allergy and irritation of the sinuses. Sinusitis is one of the more common conditions that can afflict people throughout their lives. Sinusitis commonly occurs when environmental pollens irritate the nasal passages, such as with hay fever. Sinusitis can also result from irritants, such as chemicals or the use and/or abuse of over-the-counter (OTC) nasal sprays, and illegal substances that may be snorted through the nose. About 30 million adults have "sinusitis." 2011 was a year that sinus infections are getting much lay press as sinus infections have been reported in several sports figures in basketball and baseball. The sinus infections have been reported to alter the ability of the athletes to play at their peak performance. One young (18yr old) professional baseball player reportedly died from a bacterial sinus infection that spread to his brain. Also, about 15 trauma victims of the May 2011 tornado disaster in Joplin, Missouri developed fungal infections that are rarely seen (some of them in the sinuses). Reviewed by William C. Shiel Jr., MD, FACP, FACR on 1/31/2013 Patient CommentsViewers share their comments
Sinus Infection - Symptoms
Question: What were your symptoms for sinus infection?
Sinus Infection - Home Remedies
Question: What types of home remedies have been effective for your sinus infection?
Sinus Infection - Home Remedies
Question: What home remedies have you found effective in treating a sinus infection?
Sinus Infection - Complications
Question: What were the complications of your sinus infection?
Sinus Infection - Effective Treatments
Question: What kinds of treatments have been effective for your sinus infection?
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