LYCOS RETRIEVER 
Sinusitis: Findings
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Plain radiography is generally obsolete, but exceptions include its use in confirming air-fluid levels in acute sinusitis and evaluating size and integrity of the paranasal sinuses. Radiographs may still provide a useful adjunct to diagnosis in parts of the world, where sophisticated imaging is not yet available.
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Acute sinusitis often resolves on its own without the need for treatment. If treatment does become necessary, decongestants or antibiotics may be prescribed. Chronic sinusitis can be more difficult to treat and may require treatment with several different medications, including antibiotics, decongestants, mucus-thinning medications, and antihistamines or anti-inflammatory corticosteroid nasal sprays (both of which are used to reduce swelling and mucus production).
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Although sinusitis itself is not contagious, it is often preceded by a cold, which can spread easily, particularly among family or friends. The most effective way to prevent germs from spreading is to teach your child the importance of frequent hand washing, particularly when he or she has a cold.
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With the advent of CT, the role of conventional radiography has taken second place and presently has a limited role in the management of sinusitis. There are wide intraobserver differences in the interpretation of plain radiographs, and the rate of false-negative results is high.
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The possible benefit of using steroid nasal sprays for treating acute bacterial sinusitis has not been adequately studied. This treatment is not recommended because of its additional costs to the treatment program and because antibiotic treatment alone is highly effective.
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Excessive mental, emotional and physical stress can worsen the symptoms of many chronic disorders, including sinusitis. This is due to hormonal changes and other biochemical responses to stress that can imbalance the nervous system and depress the healing ability of the body.
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