Sinusitis or rhinosinusitis is inflammation of the paranasal sinuses. It can be due to infection, allergy, or autoimmune problems. Most cases are due to a viral infection and resolve over the course of 10 days. It is a common condition, with over 5 million cases annually in India.

image

Sinusitis (or rhinosinusitis) is defined as an inflammation of the mucous membrane that lines the paranasal sinuses and is classified chronologically into several categories:

Acute rhinosinusitis ” a new infection that may last up to four weeks and can be subdivided symptomatically into severe and non-severe;

Recurrent acute rhinosinusitis ” four or more separate episodes of acute sinusitis that occur within one year;
Subacute rhinosinusitis ” an infection that lasts between four and 12 weeks, and represents a transition between acute and chronic infection;

Chronic rhinosinusitis ” when the signs and symptoms last for more than 12 weeks; and
Acute exacerbation of chronic rhinosinusitis ” when the signs and symptoms of chronic rhinosinusitis exacerbate, but return to baseline after treatment.
All these types of sinusitis have similar symptoms, and are thus often difficult to distinguish. Acute sinusitis is very common. Roughly ninety percent of adults have had sinusitis at some point in their life.

Causes……
Both smoking and second hand smoke are associated with chronic rhinosinusitis.

Maxillary sinusitis may also be of dental origin (“odontogenic sinusitis”), and constitutes a significant percentage (about 20% of all cases of maxillary sinusitis),given the close proximity of the teeth and the sinus floor. The cause of this situation is usually a periapical or periodontal infection of a maxillary posterior tooth, where the inflammatory exudate has eroded through the bone superiorly to drain into the maxillary sinus. Once an odontogenic infection involves the maxillary sinus, it is possible that it may then spread to the orbit or to the ethmoid sinus.Complementary tests based on conventional radiology techniques and modern technology may be indicated. Their indication is based on the clinical context.

Chronic sinusitis can also be caused indirectly through a common but slight abnormality within the auditory or Eustachian tube, which is connected to the sinus cavities and the throat. This tube is usually almost level with the eye sockets but when this sometimes hereditary abnormality is present, it is below this level and sometimes level with the vestibule or nasal entrance.

Signs and Symptoms ……….   Headache/facial pain or pressure of a dull, constant, or aching sort over the affected sinuses is common with both acute and chronic stages of sinusitis. This pain is typically localized to the involved sinus and may worsen when the affected person bends over or when lying down. Pain often starts on one side of the head and progresses to both sides.Acute and chronic sinusitis may be accompanied by thick nasal discharge that is usually green in color and may contain pus (purulent) and/or blood. Often a localized headache or toothache is present, and it is these symptoms that distinguish a sinus-related headache from other types of headaches, such as tension and migraine headaches. Infection of the eye socket is possible, which may result in the loss of sight and is accompanied by fever and severe illness. Another possible complication is the infection of the bones (osteomyelitis) of the forehead and other facial bones “ Pott’s puffy tumor.

Sinus infections can also cause middle ear problems due to the congestion of the nasal passages. This can be demonstrated by dizziness, “a pressurized or heavy head”, or vibrating sensations in the head. Other symptoms of sinusitis include bad breath and post-nasal drip.

image

Role of sujok……
Six ki…..E is circulatory system .Respiratory system (A) is wind of E. L(H) is coldness I.e Nose of respiratory system and H(A) is dryness I.e mucosa of coldness which also lines sinuses .This mucosa is our target here we just have to sedate heat in acute cases OR tone heat in chronic cases.In acute cases one may choose yang side also.
Triorigin acupuncture says Ho is body He is Functional systems , He of HO is respiratory system , No is nasopharynx, in which just sedate He in acute cases and Ho in chronic cases with tonification Of Ne in both cases.