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February 3, 2012
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Sinus Infection

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Sinus Infection Overview

Sinus infection, or sinusitis, is an inflammation of the sinuses and nasal passages. A sinus infection can cause a headache or pressure in the eyes, nose, cheek area, or on one side of the head. A person with a sinus infection may also have a cough, sore throat, fever, bad breath, and nasal congestion with thick nasal secretions. Sinusitis is categorized as acute (sudden onset) or chronic (long term, the most common type).

Sinusitis is very common. In 2009 there were 29.3 million adults diagnosed with sinusitis in the United States. In 2007 there were 12.5 million visits to health practitioners for chronic sinusitis alone.

Here is an overview of the anatomy of the sinuses (also called paranasal sinuses). The human skull contains four major pairs of hollow air-filled-cavities called sinuses. These are connected to the space between the nostrils and the nasal passage (behind your nose). Sinuses help insulate the skull, reduce its weight, and allow the voice to resonate within it. The four major pairs of sinuses are the:

  1. frontal sinuses (in the forehead),
  2. maxillary sinuses (behind the cheek bones),
  3. ethmoid sinuses (between the eyes), and
  4. sphenoid sinuses (behind the eyes).

Picture of the anatomy of the sinuses

Picture of the anatomy of the sinuses

Picture of the detail of the sinuses

The sinuses contain defenses against viruses and bacteria (germs). The sinuses are covered with a mucous layer and cells that contain tiny hairs on their surfaces (cilia). These help trap and propel bacteria and pollutants outward.

Acute sinusitis usually lasts less than eight weeks or occurs no more than three times per year with each episode lasting no longer than 10 days. Medications are usually effective against acute sinusitis. Successful treatment counteracts damage done to the mucous lining of the sinuses and surrounding bone of the skull.

Chronic or recurring sinusitis lasts longer than eight weeks or occurs more than four times per year with symptoms usually lasting more than 20 days.

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Sinus Infection

Wegener's Granulomatosis Overview

Wegener's granulomatosis (WG) is a rare disease in which blood vessels become inflamed (a condition called vasculitis) and localized, nodular collections of abnormal inflammatory cells, known as granulomas, are found in affected tissues. Granulomatosis is the term that refers to the presence of granulomas. The inflammation can affect various parts of the body, such as the respiratory tract (nose, sinuses, windpipe, and lungs) and the kidneys. When blood vessels become inflamed, blood flow to the organs is disrupted, which can damage the organs. The condition is named after Friedrich Wegener, who identified the illness in the 1930s.

Wegener's granulomatosis is rare, and its exact frequency is difficult to determine. According to the Wegener's Granulomatosis Association, the condition affects one in every 30,000-50,000 people. The disease can affect anyone at any age. However, it affects white people in their ...

Read the Wegener Granulomatosis article »


Read What Your Physician is Reading on Medscape

Sinusitis, Acute »

Sinusitis is characterized by inflammation of the lining of the paranasal sinuses.

Read More on Medscape Reference »

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