Medical Management

Antibiotics are important in the treatment of acute infective sinusitis and should be given for at least seven days after the symptoms have disappeared and often for 14 days altogether. It is important for the antibiotics to be given for this length of time because they do not get into the infected sinus very well. Pain relief is important as acute sinusitis is very painful. To help the drainage of pus from the sinus, a local nasal decongestant can be used. This is one of the few situations where a topical decongestant spray is a good idea, but it should only be used for a limited time (up to seven days—they can cause damage if used for longer). Steam inhalations can help to thin the thickened mucus.

Surgical Management

Surgery is used to help drainage of the involved sinus when antibiotics do not work.

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