Sinus

The Sinuses are physical structures in our skull. There are 4 pairs of these air filled spaces. They are the Maxillary, ethmoidal, sphenoid and frontal sinuses according to our ENT Sinus Specialist, Dr Y T Pang.

 

sinus-anatomy

Sinus & Sinusitis
Often, we hear our patient’s complaint that they have ’SINUS’. What most patients are referring to they have symptoms of the nose and sinuses such as allergic rhinitis with runny nose, blocked and itchy nose or they may have an infection of the nose and sinuses explained our ENT Sinus Specialist.

It is important for the sinus specialist in Singapore to take a careful history, detailed examination which often includes a video endoscopy of the nose as well as appropriate investigations like allergy tests or X Ray to determine the underlying causes of the condition.

’Sinus’ or Allergic Rhinitis
The typical ‘sinus’ symptoms are blocked nose, runny nose, sneezing and itchy nose and eyes. The runny nose tends to be watery. often accompanied by sneezing.

Sinus treatment in Singapore of Allergic Rhinitis involves identifying the allergens and medications. In cases where medication is not helpful, immunotherapy can be used. In some cases, patient may benefit from sinus operation Singapore where the nose passage is improved for better breathing.

What is the relation of Allergic Rhinitis and Sinusitis?
Sinusitis is the inflammation of the sinuses. While allergic rhinitis does not cause sinusitis directly, individuals with allergic rhinitis are more prone to have sinusitis. The sinus infection also tends to be more severe. In the treatment of the sinusitis, allergic rhinitis must also be addressed otherwise; the symptoms of sinusitis can become chronic.

Sinusitis
Sinusitis is the inflammation or infection of the sinuses. This usually starts as a cold or flu says Dr YT Pang, our Sinus doctor in Singapore. Most flu and cold will last about a week. If the cold and flu is not eliminated by then, it may spread to the sinuses.

When the sinuses are infected, the symptoms include, blocked nose, nasal discharge, cough, headache, facial pain, loss of smell, post nasal drip and fatigue. Fever may or may not be present.

When the openings of the sinuses are blocked by swelling of the mucosa (lining) of the nose and thick mucus, bacteria can be trapped in the sinuses. The multiplication of the bacteria develops into sinusitis.

Types of Sinusitis
Sinusitis can be divided into Acute and Chronic Sinusitis. This has bearings on the type of sinus treatment in Singapore.

Acute sinusitis is infection of less than 3 months. The acute sinus treatment in Singapore is typically antibiotics and nasal sprays. They are generally effective in resolving the infection. However, if the symptoms are not completely eliminated, there is a possibility that the bacteria are resistant to the antibiotics. Specialised sinusitis treatment Singapore may be necessary to determine the underlying problem. Incomplete sinusitis treatment Singapore can lead to chronic sinusitis.

Chronic Sinusitis is where the sinus infection lasts more than 3 months. The symptoms are generally mildly but more persistent. This may be an occasional productive cough in the morning or when lying down, thick mucus in the nose, frequent blocked nose and sore throat as well as throat clearing. If the chronic sinusitis symptoms do not clear with medication, a CT scan of the sinuses is performed to localised the sinuses affected. Operation for sinus in Singapore may be necessary to clear the infection. Typically these are minimally invasive sinus operation Singapore. Newer techniques of Balloon Sinuplasty operation for sinus in Singapore have allowed quicker recovery.

Balloon Sinuplasty
With the introduction of Balloon Sinuplasty technology, a less invasive way to manage sinus infection is available. Balloon Sinuplasty (TM) devices are FDA-cleared, catheter-based technologies specifically designed to navigate the tortuous sinus anatomy. The Relieva(TM) Sinus Balloon system is used to open the blocked sinus opening, and in many cases, without tissue or bone removal. Using the Relieva Sinus Balloon system, the blocked sinus opening is gently dilated restoring normal sinus drainage and function.

X Ray guides the placement of the balloon to dilate the sinus opening. But come April this year, LUMA balloon sinuplasty will be available. This uses light to confirm the placement of the balloon. With this, treatment under local anaesthesia in a clinic setting will become a possibility.

balloon-sinuplaaty

Benefits of Balloon Sinuplasty

  1. Safe and effective– involves some risk, studies demonstrate that the Balloon Sinuplasty system may be safe and effective in relieving symptoms of sinusitis.
  2. Minimally invasive – The technology uses small, soft, flexible devices introduced entirely through the nostrils. These devices gently open blocked sinuses.
  3. Reduced bleeding – In many cases, no tissue or bone is removed during surgery using this technology, because of this there may be reduced bleeding. As a result, the need for uncomfortable nasal packing may also be eliminated.
  4. Fast recovery time– While recovery time varies with each patient, some patients have been known to return to normal activities within 24 hours.
  5. Does not limit treatment options– The Balloon Sinuplasty technology is an endoscopic tool and may be used with other medical therapies and/or surgical techniques. It does not limit future treatment options if a patient has progressive disease

If you have a persistent cough, mucus in the nose, nose blockage, pressure in the face especially following a cold or flu, you may have a sinus infection. Make an appointment with ENT Sinus Specialist Dr YT Pang for an evaluation.