Chronic Sinusitis Treatment Options: From Medications to Surgery

If you feel like your sinus infection just won’t go away, you may be dealing with chronic sinusitis — a condition that can significantly affect daily comfort, sleep, and overall quality of life. Unlike short-term sinus infections, chronic sinusitis persists for months despite treatment. Understanding available chronic sinusitis treatment options can help you find lasting relief and prevent complications. 

At Burjeel Hospital Sharjah, experienced ENT specialists provide comprehensive evaluation and advanced therapies tailored to each patient’s needs. 

What is Chronic Sinusitis? 

Chronic sinusitis, also known as chronic rhinosinusitis, occurs when the sinuses remain inflamed for 12 weeks or longer, even with treatment. This inflammation blocks normal drainage, leading to mucus buildup and persistent symptoms. 

Common Symptoms of Chronic Sinusitis 

If your sinus infection won’t go away, you may experience: 

  • Nasal congestion or blockage 
  • Thick nasal discharge (yellow or green) 
  • Facial pain or pressure 
  • Reduced sense of smell or taste 
  • Headaches 
  • Postnasal drip 
  • Ear pressure or fullness 
  • Fatigue 
  • Bad breath 

Symptoms may fluctuate but rarely disappear completely without proper treatment. 

Why Does Chronic Sinusitis Develop? 

Several factors can contribute to long-term sinus inflammation: 

  • Recurrent infections 
  • Allergies 
  • Nasal polyps 
  • Deviated nasal septum 
  • Environmental irritants (pollution, smoke) 
  • Weak immune system 
  • Asthma 

Identifying the underlying cause is essential for effective treatment. 

Chronic Sinusitis Treatment Options 

Treatment aims to reduce inflammation, clear infection, improve drainage, and prevent recurrence. Your ENT specialist will recommend a plan based on severity and underlying factors. 

1. Medications 

For many patients, medical therapy is the first line of treatment. 

Nasal Corticosteroid Sprays 

These reduce inflammation and swelling inside the nasal passages, helping restore airflow and drainage. 

Saline Nasal Irrigation 

Saltwater rinses flush out mucus, allergens, and irritants, providing symptom relief and supporting healing. 

Oral or Injectable Steroids 

Short courses may be prescribed for severe inflammation or nasal polyps. 

Antibiotics 

If a bacterial infection is present, antibiotics may be necessary, though not all cases require them. 

Antihistamines 

Helpful when allergies contribute to symptoms. 

Decongestants 

These can reduce swelling temporarily but should not be used long-term without medical advice. 

2. Allergy Management 

If allergies trigger sinus inflammation, treatment may include: 

  • Allergen avoidance strategies 
  • Antihistamines 
  • Nasal sprays 
  • Immunotherapy (allergy shots or tablets) 

Managing allergies can significantly reduce recurrence. 

3. Treatment for Nasal Polyps 

Nasal polyps are soft growths that block sinus passages and worsen symptoms. Treatments include: 

  • Steroid medications 
  • Biologic therapies (in selected cases) 
  • Surgical removal if severe 

4. Lifestyle and Home Care 

Supportive measures can improve recovery: 

  • Staying hydrated 
  • Using humidifiers 
  • Avoiding smoke and pollutants 
  • Maintaining good nasal hygiene 
  • Managing underlying conditions such as asthma 

5. Surgical Options 

If symptoms persist despite medical treatment, surgery may be recommended. 

Functional Endoscopic Sinus Surgery (FESS) 

This minimally invasive procedure uses a small camera to open blocked sinus pathways, remove polyps, and restore normal drainage. 

Benefits include: 

  • Improved breathing 
  • Reduced infection frequency 
  • Better response to medications 
  • Minimal scarring 
  • Faster recovery compared to traditional surgery 

Surgery is typically reserved for severe or treatment-resistant cases. 

When to See an ENT Specialist 

You should consult an ENT specialist if: 

  • Symptoms last more than 12 weeks 
  • Infections keep returning 
  • Over-the-counter treatments provide little relief 
  • You experience severe facial pain or swelling 
  • Vision changes or high fever occur 

Early specialist care can prevent complications and improve long-term outcomes. 

FAQs 

1. Can chronic sinusitis go away on its own? 
It rarely resolves completely without treatment, especially if structural problems or allergies are involved. 

2. Is chronic sinusitis contagious? 
No. The condition itself is not contagious, though infections that trigger symptoms may be. 

3. How long does treatment take to work? 
Improvement may take several weeks, depending on severity and chosen therapy. 

4. Is sinus surgery painful? 
Modern endoscopic surgery is minimally invasive, and discomfort is usually mild and manageable. 

5. Can chronic sinusitis come back after treatment? 
Yes, especially if underlying causes such as allergies or nasal polyps persist. Ongoing care helps reduce recurrence. 

Conclusion 

Chronic sinusitis can be frustrating and exhausting, particularly when a sinus infection won’t go away despite repeated treatments. Fortunately, a wide range of effective chronic sinusitis treatment options — from medications to advanced surgery — can restore comfort and quality of life. Early evaluation by an experienced ENT specialist is the key to identifying the root cause and choosing the most effective therapy. 

Find Lasting Relief with Expert ENT Care 

At Burjeel Hospital Sharjah, our ENT specialists offer comprehensive diagnosis and advanced treatment options for chronic sinusitis and other sinus disorders. 

Don’t let persistent sinus symptoms control your life. 

Book your consultation today to receive personalized care and breathe easier.