1991 Volume 1991 Issue Supplement41 Pages 122-134
In considering the current status of sinusitis diagnosis and treatment, it is clear that the utilization of C.T. Scanning and endoscopy has made it possible to detect pre-surgically those areas of the sinuses that are pathological.
One factor contributing to the p rolongation of sinusitis is obstruction of the sinus aperture-that is the fontanelle. This problem is best treated by good ventilation and drainage. Acute sinusitis is best treated by antibiotics, and chronic sinusitis, by a combination of antibiotics and enzymatic tablets.
In order to prolong the beneficial effects of nebulizer treatments, the latter should be done in conjunction with HPCH (Hydroxypropylcellulose).
If standard pharmacological treatments are unsuccessful, surgery with endoscopy is recommended-that is, functional endoscopy surgery with a laser.