Antibiotics Not Needed After Most Sinus Surgeries Study Reports
Researchers Stacey T. Gray, MD, and Eric H. Holbrook, MD, of Mass Eye and Ear, worked with Marlene L. Durand, MD, of Massachusetts General Hospital and Mass Eye and Ear, to perform a randomized, double-blind clinical trial that compared the effect of the antibiotic amoxicillin-clavulanate on endoscopic sinus surgery patients to that of a placebo.
You Always Need An Antibiotic To Treat Your Sinus Symptoms
Because sinus infections are frequently diagnosed, many patients are taking antibiotics unnecessarily. If there is no bacterial infection to treat, then antibiotics will not help the patient feel better and could begin to create bacteria that are resistant to treatment with antibiotics. The most common scenario is a viral sinusitis . Viral infections typically resolve within 7 to 10 days and do not require treatment with antibiotics. If your symptoms include sinus pressure associated with discolored drainage that has lasted for more than 7 to 10 days, then seeing your primary doctor is appropriate and an antibiotic may be needed.
Signs And Symptoms Sinusitis Is Clearing
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Surgery Is The Only Treatment For Chronic Sinus Problems
For patients with chronic sinusitis, surgery is sometimes one of the last options considered. This is not because surgery is ineffective rather, there are medical therapies available for patients that may delay or prevent the need for surgery.
In addition to oral medications, some therapies include:
- Topical nasal medications
- Allergy treatments such as allergy shots
- Alternative therapies such as acupuncture
The type of treatment recommended by physicians depends on the symptoms the patient is experiencing and the degree of sinus disease that is present. Whether its recurrent infections, nasal congestion or facial pressure, physicians will work with patients to best tailor the treatment to their symptoms.
Sinus Surgery Doesnt Work
Sinus surgery is very successful in improving quality of life for some patients. The notion that sinus surgery is ineffective is one of the most common myths you might hear. It is important for those considering sinus surgery to understand what the surgery is going to address, whether it is improving nasal breathing or removing blockage of the sinuses.
Sinus surgery cant cure all problems that affect the nose, such as allergies, and surgery is most successful when included as part of a full treatment plan that often includes continued medical therapy after surgery. Many people think that surgery will completely stop them from getting sick, but infections happen from exposure to a virus or bacteria, so no surgical procedure will be able to eliminate that. The common cold or a viral URI can still happen even if a patient has sinus surgery.
The idea behind sinus surgery is that if you do get sick, the sinuses will be able to drain more easily, so your symptoms will not be as severe and you wont be sick for as long. The most satisfied patients are the ones that fully understand the procedure.
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Specialized Experience Makes A Difference
Our allergy/immunology specialists have extensive experience in caring for patients with severe chronic rhinosinusitis. Pinpointing the cause of this condition can be difficult. Our team’s experience is a critical factor in making the correct diagnosis and developing an effective treatment plan.
Allergists/immunologists in our unit are known nationally and internationally for their clinical and research leadership in severe chronic rhinosinusitis. In order to advance the understanding and treatment of this condition, they have lectured and led workshops at many major gatherings of allergists and immunologists.
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Sinus Mass Eye And Ear
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Sinus Disease Symptoms Improve 10 Years After Patients Quit Smoking
A new study quantifies the detrimental effects of smoking on the sinuses, finds that they will resolve over a period of 10 years after breaking the habit
Massachusetts Eye and Ear Infirmary
image: Dr. Ahmad Sedaghat examines a patient.view more
– Patients with chronic rhinosinusitis who quit smoking will see their condition improve over a period of about 10 years, according to the results of a new study led by the Sinus Center at Mass. Eye and Ear. The study, published online today in Otolaryngology – Head and Neck Surgery, is not only the first to quantify the severity of symptoms and quality-of-life impact of smoking on CRS patients, but also estimates the timeline of reversal of the smoking effects on the sinuses after cessation for the first time. The findings may provide better motivation for patients suffering from chronic sinus disease to break the habit.
“Our study looked at clinically-meaningful metrics associated with CRS, measuring how bad symptoms are and how much medication was needed,” said senior author Ahmad R. Sedaghat, M.D., Ph.D., a sinus surgeon at Mass. Eye and Ear and assistant professor of otolaryngology at Harvard Medical School. “We very consistently saw that all of our metrics for the severity of CRS decreased to the levels of nonsmoking CRS patients over about 10 years, with the severity of symptoms, medication usage and quality-of-life improving steadily over that timeframe.”
About Massachusetts Eye and Ear
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There Is Only One Type Of Nasal Or Sinus Surgery
When people think about sinus surgery, many think about a deviated septum being fixed, and while this is one of the most common types of nasal surgery, it is not the only one.
- Deviated septum surgery: Many nasal symptoms are due to a deviated septum, when the septal cartilage is crooked. For many, this displacement will cause blockage and trouble breathing through the nose. The procedure is intended to move the bone and cartilage back to the midline to improve nasal breathing.
- Turbinate surgery: Turbinate surgery is also designed to help nasal breathing. Many people have enlarged turbinates, which are normal structures in your nose that warm and humidify the air we breathe. Enlarged turbinates are most commonly caused by allergies. This surgery decreases the size of those turbinates for easier breathing.
- Endoscopic sinus surgery: Endoscopic sinus surgery aims to widen or open the normal drainage pathways that connect the sinuses to the nasal cavity. The sinuses are connected to the nasal passage through tiny openings and for people with chronic sinusitis, those openings can be too swollen for proper drainage. The surgery is designed to improve that drainage and is intended for patients with chronic or recurrent sinusitis.
Ear Nose & Throat Doctors At St Elizabeth’s
St. Elizabeth’s Medical Centers Department of Otolaryngology offers physicians, audiologists, and support staff trained to help each patient experience better ear, nose, and throat health. With on-site CT scanner capabilities, state-of-the-art treatment rooms, and same-day consultations with multiple specialists, St. Elizabeths routinely works to ensure that each patients individual needs are met. Services include:
- The Minimally Invasive Nasal and Sinus Institute offers patients innovative options in the treatment of nasal obstruction, sinus disorders, and obstructive sleep apnea, among other conditions.
- The ALL-EARS Institute for Hearing and Balance Restoration is designed to assess, diagnose, and treat each individuals hearing loss and/or balance with the goal of restoring quality of life. ALL-EARS is the only center in New England certified to use every type of implantable and semi-implantable hearing technology.
- The Hearing Aid Center allows patients access to dedicated and trained audiologists and support staff who offer a complete selection of hearing aid technologies and assistive listening devices to assist with listening needs.
- Care of Voice, Swallowing, and Head and Neck Center provides comprehensive treatment regimens to patients with a variety of disorders, including head or neck cancer.
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Otolaryngologyhead And Neck Surgery
A teaching hospital of Harvard Medical School and under the direction of , Mass Eye and Ear combines the expertise of highly specialized ear, nose, and throat physicians, audiologists, speech-language pathologists, and auxiliary healthcare professionals to provide clinical care for patients with problems affecting the ear, nose, throat, head, and neck areas.
As one of the largest otolaryngologyhead and neck surgery departments in the country, with more than 70 physicians staffed at 15 locations in the greater Boston area, we represent all subspecialty areas of otolaryngology.
Physically connected to Massachusetts General Hospital, Mass Eye and Ear and its staff members comprise the Department of OtolaryngologyHead and Neck Surgery at both institutions, allowing them to collaborate on a variety of patient care facilities.
About Eric Holbrook Md
Dr. Eric Holbrook, the Chief of the Rhinology Division at Mass. Eye and Ear, is a fellowship-trained rhinologist with more than 15 years of experience in the diagnosis, treatment, and management of problems involving the nose and sinuses.
At Mass. Eye and Ear, Dr. Holbrook was involved in the establishment of the Sinus Center, the Smell and Taste Clinic, and the Endoscopic Skull Base surgery team. Dr. Holbrook has been an invited speaker at national and international meetings and has published more than 35 peer-reviewed papers and several textbook chapters. He has also been named Best Doctor in Otolaryngology by Boston Magazine and Best Doctors, Inc.
Dr. Holbrooks clinical interests include diseases of the nose and sinuses, endoscopic approaches to the skull base, and smell and taste disorders. He is a member of the Skull Base Center at Mass. Eye and Ear/Mass General, the Hereditary Hemorrhagic Telangiectasia Center at Mass General, and the Center for Thyroid Eye Disease and Orbital Surgery as Mass. Eye and Ear.
His research interests include olfaction and chronic rhinosinusitis. His olfactory research is partly funded by the National Institutes of Health.
- Well Sense Pediatrics
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Sinus Symptoms You Must Have A Sinus Infection
Many people attribute sinus symptoms to a sinus infection, when that might not be the case. There is a difference between acute sinusitis and chronic sinusitis.
- Acute sinusitis is an inflammation of the cavities around your nasal passages caused by a variety of infections, including the common cold, a bad viral upper respiratory infection or bacteria. This is what is commonly known as a sinus infection.
- Chronic sinusitis is when that inflammation continues for more than three months and can be caused by a variety of conditions or is associated with allergies, asthma or nasal polyps.
All too often, sinus headaches and pressure are mistaken for sinus infections and are treated with antibiotics, but dont resolve the problem because another condition, such as chronic sinusitis, is actually the culprit. Anyone who has had persistent sinus pressure for more than three months or has had more than four acute infections within one year should see an otolaryngologist . Other causes of facial pain and pressure can include migraine headaches, TMJ and neuralgias , and seeing a specialist can also help with these conditions.
The Truth About The Sinuses And Sinus Surgery
Cant breathe easily through your nose? Well, you are not alone. Sinus symptoms are in the top ten diagnoses primary care physicians make. But, despite how common these issues are, there are still many misconceptions about the sinuses, which often keep patients from receiving the proper treatment.
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A Major Referral Center
The Massachusetts General Hospital Chronic Rhinosinusitis Disease Program serves as a referral center for primary care providers and ear, nose and throat specialists. We help patients with suspected or confirmed cases of severe chronic rhinosinusitis by:
- Evaluating their allergies
- Identifying the role of allergy, bacterial infection or immune deficiency
- Exploring novel therapeutic approaches
Our allergy/immunology specialists share all treatment recommendations with the referring physician and return the patient to his or her care whenever possible. Severe chronic rhinosinusitis generally requires lifelong medical management, which we are happy to coordinate with your referring physician.
Our Team Approach Is A Major Advantage
Patients with severe chronic rhinosinusitis benefit from our program’s team approach to care. World-class clinicians from related specialties at Mass General, including pulmonology and infectious disease, are available to assist in diagnosis and treatment. We also partner with ENT specialists from Massachusetts Eye and Ear to evaluate patients with unusual infections or other complicated cases.
Although medications prove effective in most cases, about 25 percent of our patients require surgery to alleviate their symptoms. When indicated, we will collaborate with Mass Eye and Ear specialists in making decisions about surgery and managing ongoing care, while the ENT surgeons at the Mass Eye and Ear typically perform the operation.
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Put Up Nasal Drip Phlegm Blood
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About Mass Eye And Ear Newton
Under the direction of Samir Bhatt, MD, the physicians at Mass Eye and Ear, Newton offer routine and subspecialty ear, nose, throat, head and neck care in a state-of-the-art facility located in Newton-Wellesley Hospital. Mass Eye and Ear, Newton strives for easy access to appointments, including same day service for urgent care.
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Sinus And Nasal Disorders Research
At Mass. Eye and Ear, we pride ourselves on the strong role that research plays in supporting and enhancing the clinical care provided to our patients. Being a part of this hospital uniquely positions us to transform the way patients are treated through our research efforts that are focused on understanding the mechanisms of chronic sinus disease and investigating our sense of smell.