Untreated Sinusitis Can Be Dangerous!

MEDICENTER TV / ISTANBUL

Sinusitis, an inflammation of the mucosal lining inside the sinus cavities, is a condition that can significantly reduce quality of life. Defined as an infection of the sinus cavities, it can be acute or chronic, with severity varying from patient to patient. Prof. Dr. Dilaver Özturan, an Ear, Nose, and Throat (ENT) specialist at Acıbadem Fulya Hospital, warns that chronic sinusitis is becoming increasingly common worldwide due to rising allergens, smoking, and prolonged time spent indoors. “When chronic sinusitis is left untreated, the infection can spread in the body and cause severe health problems. Because the sinuses are located very close to the eyes and brain, sinusitis, though rare, can lead to eye abscesses, vision loss, or meningitis. It may also coexist with asthma, a condition known as sinobronchial disease,” he explained.

Symptoms Persisting Beyond Two Weeks: A Red Flag

If sinusitis is not treated promptly, the condition can progress into chronic disease and even require surgery. Prof. Dr. Özturan emphasizes the importance of early diagnosis: “If the symptoms of acute sinusitis do not resolve within two weeks, patients should definitely consult a physician. Early diagnosis prevents progression to chronic sinusitis and improves quality of life.”

Chronic Sinusitis: Silent and Deceptive Symptoms

While acute sinusitis usually presents with headache, watery eyes, fever, facial fullness, and nasal discharge, chronic sinusitis often develops with subtle signs. “Headache, one of the most common symptoms of acute sinusitis, may not occur in chronic cases. Many patients are surprised when diagnosed, saying, ‘But I don’t have a headache.’ Instead, chronic sinusitis presents with loss of smell and taste, persistent nasal congestion, postnasal drip, cough, shortness of breath, and fatigue,” Prof. Dr. Özturan noted.

Common Triggers: From Allergens to Cigarette Smoke

When the sinus mucosa swells, drainage is blocked, causing mucus to accumulate in the sinuses. This creates an environment where viruses, bacteria, and fungi can multiply and spread. Air conditioning, cigarette smoke, pollen, allergens, nasal polyps, deviated septum, air pollution, and dusty environments are among the leading triggers for sinusitis.

Treatment Options: Medication and Surgery When Needed

Treatment depends on the type, severity, and underlying cause of sinusitis. While some acute cases resolve on their own, chronic sinusitis requires treatment. Antibiotics, if fever is present, and lifestyle adjustments can help manage the disease. However, if these measures fail, surgery becomes necessary.

Prof. Dr. Özturan highlights the importance of endoscopic sinus surgery: “The goal is to open the sinus channels and restore proper drainage. Endoscopic techniques are safe, minimize risks such as mucosal damage and bleeding, and allow patients to return to normal life within one or two days.”

Five Essential Rules to Prevent Sinusitis

1. Do not smoke or stay in environments with smoke.

2. Avoid crowded and dusty places.

3. Swim regularly or rinse your nose with saline 2–3 times a day.

4. If you have allergies, make sure to seek proper treatment.

5. Treat nasal obstruction, adenoid problems, or turbinate enlargement with medical guidance.

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