Conservative therapy: Ventilation and drainage of the paranasal sinuses can be improved by the use of decongestant nose drops, nasal spray, or by inserting a cotton pack soaked with nose drops into the middle meatus. In more severe forms associated with fever and significant malaise, antibiotics (e.g., amoxicillin) should be administered. Heat therapy (electric light bath) and the inhalation of chamomile or sage are recommended as adjuncts.
Surgical therapy: It is also possible.
Treatment: Conservative treatment options include decongestant nose drops (for no more than one week), heat therapy (electric light cabinet, microwaves, infrared), and broad-band antibiotics (e.g., amoxicillin) for acute exacerbations of sinusitis with fever and malaise. Mucolytics can also be administered for supportive therapy. With an allergic etiology, appropriate antiallergic therapy should also be provided. All of these conservative therapies are of symptomatic benefit and cannot eliminate the cause of chronic sinusitis. The only definitive treatment is sinus surgery.