How to prevent and treat open sinuses? Friends who know, please tell me!

The treatment of sinusitis includes conservative treatment and surgical treatment. Conservative treatments mainly include: 1. Use vasoconstrictor nasal drops and corticosteroids to improve nasal ventilation and drainage. 2. Maxillary sinus puncture and irrigation, 1 to 2 times a week, to treat maxillary sinusitis. 3. Replacement therapy, that is, using negative pressure suction to make the medicinal solution enter the sinuses. It is suitable for frontal sinusitis, ethmoid sinusitis and sphenoid sinusitis, and is most suitable for patients with chronic pansinusitis. If regular conservative treatment is ineffective, surgical treatment is required. Surgery can be roughly divided into two methods: 1. Traditional sinus surgery, such as intranasal maxillary sinus fenestration, maxillary sinus radical resection, intranasal ethmoid sinus resection, extranasal ethmoid sinus resection, and frontal sinus drilling and drainage. Surgery, extranasal frontal sinus radical surgery and intranasal sphenoid sinus orifice expansion surgery, etc. This method is often not thorough enough, causes large trauma, and has shortcomings such as facial scars. 2. Functional endoscopic sinus surgery: It is a sinusitis surgery method based on traditional sinus surgery. It has clear lighting, wide field of view, precise operation, small trauma, no scars on the face, can relatively completely remove lesions, and can It preserves the advantages of normal tissue and structure, thus improving the cure rate.

No matter what kind of sinusitis surgery, patients should pay attention to the follow-up after the surgery, otherwise the effect and prognosis of the surgery will be affected. Generally speaking, the follow-up time after surgery is the most important in the 1st to 2nd week and the 3rd to 10th week after surgery. The surgical cavity should be cleaned at these two stages; the surgical cavity and nasal cavity drug lavage should be carried out at the same time until the 12th to 14th week after surgery. Therefore, the patient should go to the hospital for follow-up once a week for the first month after discharge, once every two weeks in the second month, and then once a month until the surgical cavity becomes epithelialized. If you do not go to the hospital regularly for follow-up, complications such as intranasal mucosal adhesion, secondary infection, and granulation growth may occur.