Sinusitis Treatment - Is surgery a Must?
Sinusitis Treatment - Is surgery a Must?
Traditionally we think sinusitis is caused by bacteria infection or obstruction of sinus ostium, so the treatment of chronic sinusitis is mainly by antibiotics at first. Medical doctors will recommend operation to make patent the obstructed sinus ostia if medical therapy is in vain. Antibiotics-surgery cycle repeats again if the sinus symptoms persist or recur after operation. The incidence of sinusitis or the sinusitis patients should be less and less with the development of more effective antibiotics and more advanced surgical technique and devices; however, more and more people are suffering from chronic sinusitis year by year.
Is chronic sinusitis a medical disease that can be managed by medical therapy or is it a surgical disease that can only be cured by operation? The therapeutic guidance by the Academy of Oto-rhino-laryngology today recommends medical therapy for the management of chronic rhinosinusitis, while surgical treatment is only recommended if medical therapy is in vain. It seems that chronic sinusitis is a medical disease that can be managed well by non-surgical method, but the fact that there are still so many sinusitis operations performed today should be questioned.
Dr. David S. Parsons, a well-known ENT professor in the university of Missouri school of medicine, pointed out in a medical journal on the topic of pediatric chronic rhinosinusitis that he strongly believed that chronic sinusitis was a surgical disease and can be cured only by operation during his earlier practice. However he changed the conclusion after his use of MMT- Maximal Medical Therapy (the use of a more inclusive history and an expanded work-up), that "chronic sinusitis in children is generally a medically treatable disease and surgery is often not required." He said that while the sinusitis patients sometimes wait for 2 years for the operation previously due to too many patients waiting for surgery, only three sinusitis sufferers during the 2 years period should have surgical treatment when his group treated the sinusitis patients by MMT. It is a very dramatic and unbelievable change.
Miracles happened often after we treat sinusitis patients by maximal medical therapy. Many patients thanked us that we saved their health to avoid the complications of long term medications or surgery. They had more time and money to enjoy their lives. Next time when your doctor suggests you or your loved one a long term antibiotics or surgical treatment for chronic rhino-sinusitis, remember to ask your doctor: "Can we try the maximal medical therapy before operation?".
For more information on treatment using pulsatile nasal irrigation, please visit:www.sanvic.us
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