Dr. Kilty’s Chronic Sinusitis Information Pamphlet
Chronic: Of long duration; continuing.
Sinusitis: Inflammation (swelling) of one or more sinuses.
What is Chronic Sinusitis (CRS)?
Chronic (rhino)sinusitis, or CRS, is a common disease that results in inflammation (swelling) of the lining of the affected sinuses.
What Causes Chronic Sinusitis?
There may be a number of causes for this inflammation such as allergies and infection due to bacteria. It is likely that there are also many different genetic causes for this inflammation. In most cases, we are not yet able to know what the cause of inflammation is in an individual patient.
How is Chronic Sinusitis Treated?
Medications make up the major treatment for CRS. These include saline rinses, steroid nasal sprays, antibiotics, oral(systemic) steroids, and sometimes treatments for allergy.
Surgery is also commonly used for CRS. It can provide relief of many of the symptoms of CRS. More importantly, after surgery the lining of the sinuses can be better treated with steroid sprays and irrigations due to the larger openings that are made at surgery. This may allow for better control of the inflammation.
Will I Always Have Chronic Sinusitis and Need to use Medication?
CRS is a chronic disease as is high blood pressure. When we treat high blood pressure with medication it can be lowered. An individual still has high blood pressure even if the pressure is controlled. The same can be said for CRS. We treat the sinuses with surgery and steroid sprays to control the inflammation. Even if the inflammation is controlled, an individual still has CRS and therefore they need to continue the medication that treats the disease. Otherwise, the disease continues to cause inflammation and all of the symptoms and sinus changes related to it.
What is Sinus Surgery?
Sinus surgery is most commonly performed using specialised telescopes called endoscopes. This allows the surgeon to see inside your nose without having to make cuts on the outside. The operation is then done using specially designed instruments for operating in the nose and sinuses. This is also termed Minimally Invasive Surgery (MIS). Dr. Kilty has completed specialised fellowship training in endoscopic sinus, periorbital, and skull base surgery.