How does Frontal Sinusitis / Frontal Sinus Infection Occur?

Due to the fact the frontal sinuses drain into the nose through ethmoid sinuses, any obstruction or blockage of the ethmoid sinuses usually causes frontal sinusitis -inflammation of frontal sinuses. This results in impaired mucosal drainage.

Impaired flow of mucosal secretions within the frontal sinuses hampers its mucociliary function, and results in mucus build-up within the frontal sinuses. Accumulation of mucosal secretions inside the moist, warm and dark sinuses promotes growth of infectious agents.

What causes Frontal Sinusitis?

Frontal sinusitis may be caused a variety of reasons including: Blockage/infection of ethmoid sinuses, Bacterial/viral infection of the sinuses, Mucosal edema, Polyps, Tumors, Septal deviation, and Traumatic injury.

Signs and Symptoms of Frontal Sinusitis:

Frontal sinusitis symptoms may include: Severe frontal headache, Periosteal edema, Osteomyelitis, Meningitis, Intracranial abscess, Nasal congestion, Nasal discharge, Severe cough, Facial swelling, Facial Pain, and Tooth ache.

Diagnosis of Frontal Sinusitis:

Diagnosis of Frontal Sinusitis often includes the following: Careful review of patient's history, Sinus aspiration, Bacterial culture, CT scans and Radiographs.

Frontal Sinusitis / Pansinusitis Treatment & Remedies:

The treatment of frontal sinusitis usually starts with a complete course of antibiotic therapy. It may also involve the use of: Antihistamines, Amoxicillin, Amoxicillin-Clavulanic acid, Cephalosporins, Azithromycin, Clarithromycin, Corticosteroids, Mucolytic agents, and require Nasal irrigation/lavage.

Frontal Sinusitis cases refractory to conservative treatment can be considered for a surgical intervention including the procedures such as: Functional endoscopic sinus surgery or FESS (a minimally invasive surgical remedy for frontal sinusitis), Trephination, External frontoethmoidectomy (Lynch approach, Killian approach, Reidel method, and Lothrop/Chaput-Meyer technique), Osteoplastic frontal sinus procedure, and Endoscopic frontal sinus procedures.

Frontal Sinusitis Prognosis:

Even though the use of FESS endoscopic surgery offers promising results, the overall prognosis of frontal sinusitis sinus disease primarily depends on the underlying causes.

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