The sinus disease resulting in lower airway symptoms such as asthma and bronchitis is due to a constant post nasal drip of inflammatory and infective secretions from the back of the nose to the back of the throat.It can cause infections and irritation of the lower respiratory passage. In spite of treating the chest condition with antibiotics, steroid and antihistamines,the patient will not get better unless the primary sinusitis condition is dealt with.
Sinobronchial syndrome is a combination of sinusitis and the resulting lower respiratory tract symptoms such as bronchitis or asthma. With sinobronchial syndrome, the sinus disease may be caused by allergies or an infection and it can be chronic. The lung disease can be one of several types such as acute infective bronchitis, recurrent bouts of bronchitis, chronic bronchitis, or asthma that’s difficult to manage.
Acute sinusitis is usually painful, while chronic sinusitis present with postnasal drip and cough.Endoscopy of the nose and CT imaging is helpful in making a proper diagnosis and management plan.Here the patient undergo surgery , functional endoscopy sinus surgery to clear the sinusitis (FESS).