Treatment does not work well for chronic sinus condition

Surgery is usually the last resort of people with a banned nose or chronic runny. But in some cases, it may actually work better than antibiotics that are routinely prescribed to treat the condition.

Chronic sinusitis affects 9 percent of people around the world It occurs when mucus-pocket-pocket-pockets-nasal-nose become inflamed. Common symptoms include a blocked nose or a runny nose, which is a sense of scent and facial pain, while continuing for more than 12 weeks. The cause of the condition is usually unclear, but it may involve viral infections or a change in the microbium nose.

The first line of treatment includes anti -inflammatory nasal sprays and salt water solution across the nose daily. But if the symptoms persist, doctors often prescribe a three -month path of antibiotic clarithromycin. This is used for its anti -inflammatory properties instead of its properties that kill bacteria, Karl Philippot At East Anglia University in the United Kingdom.

As a last shelter, people can undergo surgery to expand the sinuses and remove any benign nose growth, or benign tumors, which constitute and the symptoms increase in About 5 percent Cases. However, no previous study was compared directly with antibiotics.

To fill this gap, Philpott and his colleagues have recruited more than 500 adults with chronic self -inflammation. In investigative studies, the participants classified the severity of 22 symptoms, such as facial pain and how they had a runny nose, with an average of 55 out of 110.

The team then appointed the participants randomly to take either a three -month path of Clarithromycin or the pills of imaginary drug or undergoing nose surgery. All participants also use the nose spray and rinse their noses with a brine.

Six months later, those who took either Claithromycin or imaginary drug pills have been about 10 points a decrease in the severity of their symptoms compared to before treatment, a level that will significantly improve the quality of their lives. Claire Hopkins At King’s College London. But since the effect was seen in both antibiotics and placebo, it was due to the nasal sprays and rinsing, she says.

Hopkins says that those in the surgery group have witnessed about 30 points in their symptoms compared to before surgery, indicating that doctors should provide this instead of antibiotics.

There is an important warning. It was about 80 percent of the participants of the nasal benign tumors, perhaps because the study was conducted during the Covid-19 pandemic, and the arrest of the Corona virus may lead A type of inflammation that leads to benign tumorsHopkins says. She says more studies are needed to verify whether the results apply to those who do not suffer from benign tumors, which we know have different types of inflammation.

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