Chronic Sinusitis

What are the sinuses?

The sinuses are hollow pockets of air in the facial bones. If you touch your cheek or forehead, the bone there feels like hard, solid bone. But these bones are actually hollow and contain the sinuses.

Most people have four sinuses on each side of the face. The names of theses sinuses are:

  • Maxillary sinus
  • Ethmoid sinus
  • Frontal sinus
  • Sphenoid sinus

What happens when someone has chronic sinusitis?

Chronic sinusitis is when someone has irritation, swelling, or infection in the sinuses. Sinusitis is chronic when it lasts for more than 12 weeks.

Most of us don’t think about our sinuses when the sinuses are healthy. But, it can be hard to ignore the symptoms of chronic sinusitis. Symptoms can include nasal congestion, facial pressure, sinus pressure, nasal drainage, and a decreased sense of smell.

Sometimes, bacterial sinus infections can lead to chronic sinusitis. Now, we know that infections are just one possible cause of chronic sinusitis. Many people don’t have an infection. Instead, they have inflammation in their sinuses. No matter what the cause is, having chronic sinusitis can make someone feel miserable. It can feel like a cold that never goes away. Chronic sinusitis affects millions of people in our country every year.

How is sinusitis diagnosed?

Diagnosing sinusitis is often not easy. Many different issues can cause symptoms that can be mistaken for sinus problems.

Making an accurate diagnosis requires a few different pieces of information. Your doctor needs to understand the types of symptoms you are having. After understanding your symptoms, the doctor needs to see inside the nose to look for findings that show inflammation or infection in the sinuses.

It is usually easy to understand the types of symptoms someone is having. The hard part is being able to look inside the nasal and sinus areas. The best ways to look at these areas are with nasal endoscopy and sinus CT scans.

Nasal endoscopy lets your ENT doctor look inside the nasal passages. The procedure is done during your office visit. It may feel like a little tickle, but usually does not cause pain. The doctor uses a nasal endoscope to look inside the nostril. The endoscope is a tiny flashlight with a little camera.

A sinus CT scan is also very helpful in diagnosing sinusitis. The CT scan is like a specialized X-ray of the sinus areas. The CT provides high resolution images of the insides of the sinuses. That information allows your doctor to look for things like sinus swelling or sinus blockage. The doctor can also look for things like sinus polyps or sinus infection.

How is chronic sinusitis treated?

Fortunately, we now have lots of treatments for chronic sinusitis! There usually isn’t one treatment to cure chronic sinusitis, but the treatments can make the symptoms so much betteer. Sometimes, the best way to get relief is to use the right combination of medications. Things like certain nasal sprays and allergy medications can be helpful. Your ENT doctor can help you figure out the best options for medications. Sometimes,sinus rinsescan also help.

Some patients with severe sinus issues can’t get relief with sinus rinses and medications. In these cases, treatments likesinus surgerycan be helpful.

Read more information about sinusitis at theJournal of the American Medical Association’s Patient Page on Adult Sinusitis.

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Phone: 315-254-2030

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Phone: 848-209-6363

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Patient Experience

By far the best experience I’ve had with a Dr. Patient experience to Date. From the staff to Dr. Goyal was a pleasant visit I could have asked for . The care was second to none. I can’t thank Dr. Goyal Enough for everything he has done for me and my care.

Phil D
"Dr. Mitchell listened carefully and delivered exactly what I needed. The results feel natural, and I'm breathing better than ever."
Sarah Chen
Sarah Chen
"Dr. Mitchell listened carefully and delivered exactly what I needed. The results feel natural, and I'm breathing better than ever."
Sarah Chen
Sarah Chen
"Dr. Mitchell listened carefully and delivered exactly what I needed. The results feel natural, and I'm breathing better than ever."
Sarah Chen
Sarah Chen
"Dr. Mitchell listened carefully and delivered exactly what I needed. The results feel natural, and I'm breathing better than ever."
Sarah Chen
Sarah Chen
"Dr. Mitchell listened carefully and delivered exactly what I needed. The results feel natural, and I'm breathing better than ever."
Sarah Chen
Sarah Chen
"Dr. Mitchell listened carefully and delivered exactly what I needed. The results feel natural, and I'm breathing better than ever."
Sarah Chen
Sarah Chen
I visited Dr. Lindsey Goyal for lip filler injections. She was so patient and thorough with me. I felt as though she truly cared about the outcome and the look I wanted to achieve. Dr. Goyal has an eye for perfection and is truly meticulous with her work. Not only is she skilled, precise and professional, she is also very personable. You can tell that she is passionate about her patients and the care she provides. I am beyond thrilled with my results. I would highly recommend her and plan to continue seeing her for any aesthetic procedures I get in the future.
Sarah Chen
Brittany D
I recently had an appointment with Dr. Goyal for some chronic sinus issues that I’ve been experiencing. As many others have stated, this office is truly an amazing experience. The office is extremely clean, and his staff is WONDERFUL. They truly go above and beyond to make patients feel comfortable and well cared for. Christine is always so positive and willing to help. My first appointment with Dr. Goyal was a very positive experience. He is extremely knowledgeable, kind and patient. The appointment did not feel rushed at all. Thank you to Dr. Goyal and his team!
Sarah Chen
Tara V
By far the best experience I’ve had with a Dr. Patient experience to Date. From the staff to Dr. Goyal was a pleasant visit I could have asked for . The care was second to none. I can’t thank Dr. Goyal Enough for everything he has done for me and my care.
Sarah Chen
Phil D
I could not be more grateful to have been in the care of Dr Lindsey Goyal! I had a wound that was 3 cm in diameter on my right temple area from MOHs surgery and she made it look like there was nothing there. Very Thankful and she was there for me during my recovery every step of the way.
Sarah Chen
Deb S
Dr. Lindsey Goyal performed a complicated plastic surgery on my nose after a basal cell cancer was removed by a Mohs surgeon. The space was large enough that it required a skin flap from my cheek. She did an unbelievably wonderful job. It was extensive surgery, and in a month or so I don’t think anyone would know that I had anything done.In addition to being a great surgeon,Dr. Goyal is kind and compassionate. The office staff is also very kind.I would strongly recommend Dr. Lindsey Goyal to anyone needing facial plastic surgery.
Sarah Chen
Barbara E
I have continued to be extremely pleased and impressed with the care provided by Dr. Goyal and his staff. Always courteous, prompt, informative and very professional. Dr. Goyal performed surgery on me 2 years ago. Recovery was great and I’ve had no further issues. I would highly recommend Dr. Goyal to anyone in need of ENT care.
Sarah Chen
Mary L
So glad I had this surgery. I can finally breathe normally after years of thinking I had allergies. Dr. Goyal & staff are amazing! Thank you 😊
Sarah Chen
Andrea
Dr Goyal services are the Best! The staff is exceptionally friendly from the office to the surgical room. I’m so happy with my decision to have this surgery. I haven’t slept this good in years. My only regret is not having it done sooner. I highly recommend his services.
Sarah Chen
Jordyn
Dr. Goyal is amazing! He took me in and gave me hope as a chronic sinus infection sufferer! His staff at his office, as well as those at the surgery center are wonderful, caring people who made my 4th surgery as tolerable and comfortable as possible. I am beyond grateful for all of them. Strongly recommended !!
Sarah Chen
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