According to a research, minimally invasive surgery is a safe and effective therapy for alleviating the pain and pressure of sinusitis for geriatric patients who can’t be helped by medication alone.

Dr. Stilianos E. Kountakis, otolaryngologist, vice chair of the Medical College of Georgia Department of Otolaryngology – Head and Neck Surgery and a principal author on the study published in the December issue of Otolaryngology – Head and Neck Surgery, said the finding suggests that sinus problems must not be ignored in the elderly and there is a surgical technique that is not that invasive and offers good outcomes.

From News-Medical.Net:

“We thought that maybe the endoscopic sinus surgery wouldn’t be as effective because of the decreased efficiency of the sinuses that naturally occurs with age, but that wasn’t the case. We thought maybe other medical problems, might make surgery less safe and effective, but that wasn’t the case either,” he says.

Instead they found 64 percent improvement in symptoms at three months, 73 percent improvement at six months and 75 percent improvement at 12 months, based on patient reports of their symptoms as well as physical exams.

Medical therapy, including inflammation-reducing steroids, mucus thinners and salt-water douches to moisturize and clean the sinuses, is always the first approach to treatment, Dr. Kountakis says. But after about a month, if the condition is no better, a surgical approach through the nose can be used to remove obstructions and/or widen sinus passages. Typically patients will continue to need some type of medicine following surgery to help keep their condition in check.

Dr. Kountakis and collaborators, led by Drs. J. Chris Colclasure and Charles W. Gross at the University of Virginia Health System found patients continue reporting improvement in symptoms over the year after surgery besides experiencing few minor complications and no major complications.

Tags: minimally invasive surgery, Sinus, sinusitis, steroids

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If we look for figures we’ll see that almost 37 million Americans suffer from acute sinus pressure, nasal congestion and similar allergies every year. The most common therapy recommended by the doctors include antibiotics which do prove to be a big relief from this acute condition but this is followed by a chest cold most of the times.

However, the good news is that a new research carried on by Isareli experts says that steroid nasal sprays can help ease symptoms of sinus in a much better way and also aid in speedy recovery. This can prove to be highly beneficial for patients suffering from the same because sinus is an extremely painful condition.

From news-medical.net:

Every year, nearly 37 million Americans suffer from the sinus pressure, nasal congestion, cough and postnasal drip that accompany sinusitis.

Doctors often prescribe antibiotics to relieve acute sinusitis, which can develop following a chest cold. However, steroid nasal sprays – either alone or with antibiotic therapy – may better ease symptoms and speed recovery, suggests a new review by Israeli researchers.

In this review, Anca Zalmanovici, a family physician at Rabin Medical Center in Petach Tikva, and her co-author analyzed data from four randomized controlled trials including nearly 2,000 participants, all with clinical symptoms of acute sinusitis.

The review appears in the current issue of The Cochrane Library , a publication of The Cochrane Collaboration, an international organization that evaluates research in all aspects of health care. Systematic reviews draw evidence-based conclusions about medical practice after considering both the content and quality of existing trials on a topic.

The research was carried forth by carrying out randomized trials on nearly 2000 participants suffering from severe sinusitis. The participants who had to undergo X-ray or nasal endoscopy to confirm the diagnosis either received a placebo or intranasal corticosteroids for atleast two or three weeks. They were administered with this either only with steroids or in combination with antibiotics. The Intranasal corticosteroids employed primarily included fluticasone propionate (Flonase), mometasone furoate (Nasonex) and budesonide (Rhinocort).

Tags: Sinus, sinusitis, steroid, steroid therapy, steroid therapy for sinus

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