Long-term relief for patients with chronic allergic sinusitis in their 20s


Chronic sinusitis is a sinus infection that lasts for more than 12 weeks. It can cause swelling and inflammation of the sinuses, as well as blocking airflow due to the production of mucus. It is one of the most common distresses in adults in India and is more pronounced than diabetes, coronary heart disease and asthma. The case report details the case of a woman in her late twenties suffering from chronic sinusitis and her therapeutic journey.


Chronic sinusitis usually results from the formation of nasal polyps, allergies, and airway infections. They are also common in people with deviant septum and immune system-related disorders such as cystic fibrosis and HIV.

One of the hallmarks of chronic sinusitis is that the patient has not received sufficient or long-term relief from conservative treatment and requires surgical intervention. Since sinusitis is a very common disease in India, it is essential for patients to learn appropriate treatments for chronic sinusitis to avoid future complications such as blindness and meningitis.

Case presentation

The patient is a woman in her late twenties who has been suffering from chronic sinusitis and related symptoms for nearly 20 years. She had frequent colds and sinus problems, as well as sinus-related headaches. She tried conservative treatments for her life, medicines, salt water gargles, steam, etc., but none of these provided her long-term relief.

Finally, she approached Pristyn Care for treatment. Our otolaryngologist performed a thorough physical examination along with diagnostic tests such as tissue culture, blood tests and CT scans. Her diagnosis revealed that she has been suffering from allergic-induced chronic sinusitis. In addition, CT scans and x-rays reveal that her nasal septum deviation is deviant, making her more susceptible to sinus infections.

To ensure complete and long-term recovery, otolaryngologists recommended combined surgery, including septoplasty and FESS surgery. Her surgery was scheduled and performed within the next week. She experienced mild pain and discomfort about a week after surgery. However, a week later, her airways were clean and she was able to breathe without problems for the first time in almost 20 years.


CT scans of paranasal and nasal areas, endoscopy, allergy tests, nasal x-rays, complete blood count, tissue culture

Differential diagnosis:

  • influenza
  • Nasal polyp
  • sarcoidosis
  • Acquired and congenital immunodeficiency,
  • Allergic and non-allergic rhinitis etc.


She combined septoplasty and FESS surgery to drain the sinuses and open the airway.

Results and follow-up:

She had some pain and discomfort one week after surgery, but within a few weeks she recovered completely without complications.


Sinusitis is a very common disorder, and in most cases conservative management remains the primary treatment, but patients are well educated about their condition to seek surgery when needed. It is important to be there.

FESS is an endoscopic surgery that inserts an endoscope and surgical instruments from the nasal cavity into the sinuses to prevent cuts, sutures, and scars on the face. The success rate is about 80-90%, and even patients with chronic problems are relieved almost instantly.

Also read: A complete guide to FESS surgery

In addition to FESS, there are other surgical procedures that surgeons may perform to treat chronic sinusitis, such as balloon sinusitis and image-guided surgery. Treatment choices are generally based on the patient’s age, symptoms, severity of condition, and so on. Of these surgeries, FESS has proven to be one of the safest and most effective treatments.

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