Sphenoid sinusitis can be cured

• Uncomplicated sphenoid sinus disorder can be treated with a combination of antibiotics, systemic or topical decongestants, hot fermentation, steam inhalation and steroid nasal sprays. However, complicated conditions require surgery.

• Surgical drainage of the sinus and antibiotic therapy are necessary if the symptoms do not improve within two days. The sinus drainage will improve the headache and fever.

• The transnasal puncture of sphenoid procedure is used to drain the sinus in case of the acute sphenoid sinusitis that is unresponsive to the antimicrobial therapy consisting of amoxicillin and ampicillin.

• If the patient does not respond to antibiotics, there may be fungal sinusitis, which requires surgical removal of the fungus ball and sinus irrigation with an antifungal medicine.

• Surgical procedures are almost necessary to treat the sphenoid sinus disorders. The procedure, referred to as sphenoidotomy, is performed to drain the sinus, remove the infected mucosa and marsupialize or exteriorize.

• Sphenoidotomy can heal both the sphenoid sinusitis that is a part of pan-sinusitis and solitary sphenoiditis, but the approaches opted for the surgery will be different. The physician may choose from the antrum and the ethmoid sinus approaches for sphenoidotomy.

• Treating solitary sphenoiditis is relatively simple.

• Lavage ( irrigation or washing out an organ) through the sinus ostium

• Lavage and perforation via the sinus’s anterior wall

• Open up the sinus via the nose

• The sinusitis requires aggressive management.

• Aspiration (drawing in or out by sucking) and decongestion of the sphenoid sinus

• Use a swab having antibiotics, anti-inflammatory or anti-allergic agents, oral steroids, or epinephrine / tetracaine to block or close (tamponade) the sphenoethmoidal recess.

• Sphenoid sinusitis with intracranial complications may require a craniotomy, a critical surgical procedure for removing a bone flap from the skull temporarily to reach the brain.