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Adult Sinusitis

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Sinusitis (also known as rhinosinusitis) is caused by inflammation of the lining of the nasal passages and sinuses. Sometimes, sinusitis may be worsened by fungal or bacterial infection. In most cases, sinusitis is caused by a variety of noninfectious causes, resulting in acute or chronic inflammation of the nose and sinuses. Therefore, if you have sinusitis, you should see a specialist who can properly diagnose your condition and develop an individualized treatment plan for you.

The symptoms of sinusitis in adults may include:

  • Nasal congestion or obstruction
  • General fatigue
  • Loss of smell and taste
  • Runny nose with thick, discolored drainage
  • Pain or pressure in face and sinuses

Why Choose UHealth?

Highly specialized rhinology doctors. The experts at University of Miami Health are here to help you breathe easier, smell better, and rest better with an accurate diagnosis and leading edge treatments in a compassionate setting. Our fellowship-trained providers specialize in the nasal airway, and our rhinology specialists have completed specialized training in nasal and sinus disorders. They have dedicated their clinical and research careers to caring for nasal and sinus disorders.

Our academic health center provides you with more treatment options. Our ENT specialists are experts in the field of rhinology. As part of an academic health center, we are proud to offer breakthrough treatments not available to other facilities in South Florida. We also offer our patients early access to clinical trials and new medical and procedural treatments. We provide comprehensive care for a wide array of rhinologic conditions, backed by expertise, research, and education.

Questions? We're here to help.

Our appointment specialists are ready to help you find what you need. Contact us today.

Treatments

  • Medications

    Your ENT doctor may recommend a prescription or over-the-counter medication to help the symptoms due to inflammation or infection and to treat the underlying cause of your sinusitis. Nasal saline sprays or irrigation, nasal steroid sprays, oral steroids, and antibiotics may all be used to effectively reduce and control your nasal and sinus inflammation and improve your symptoms.

  • Nasal Sprays

    Nasal decongestant sprays (like Afrin® or Neo-Synephrine® spray) can be used to treat nasal stuffiness in acute sinusitis (as with viral infections like a cold or flu), but these treatments are not recommended in chronic sinusitis. They should not be used longer than three days. With long-term use of nasal decongestant sprays, the nose can become dependent on them, causing the turbinates to enlarge and nasal stuffiness to worsen, requiring turbinate surgery.

  • Nasal/Sinus Irrigation

    Your ENT specialist may recommend a nasal/sinus irrigation for your sinusitis.

  • Surgery

    With recent advances in technology, ENT surgeons can now perform endoscopic sinus surgery entirely through the nose, without face or mouth incisions. Alternately, your ENT specialist may recommend sinus surgery using a balloon catheter to help manage your chronic sinusitis. Although extremely uncommon, when minimally invasive surgery is not an option, your ENT surgeon may need to perform sinus surgery via an external approach.


Tests

  • Nasal Endoscopy

    During this procedure, our ENT doctor inserts a thin, flexible or rigid endoscope with a tiny camera attached to a high definition monitor to visually inspect the inside of your sinuses to help determine the cause of your sinusitis.

  • Imaging

    Images obtained from computerized tomography (CT) scan or magnetic resonance imaging (MRI) can help your doctor see details of your sinuses and nasal passages. This test is more likely to be used in the case of chronic sinusitis that hasn’t responded to more conservative medical treatments, and can help your specialist determine the extent of the disease and decide if you will need surgery.

  • Nasal and Sinus Cultures

    If you have discolored mucus as a symptom of chronic sinusitis, your ENT specialist may recommend taking a culture (mucous or tissue sample) from your nasal area or sinuses to further assess your condition and to see if you also have a secondary bacterial infection that needs to be treated with antibiotics. Generally, this is mostly done for patients with chronic sinusitis who have been on multiple antibiotics in the past. These patients tend to be resistant to a number of common oral antibiotics.

    A culture provides information to the ENT specialist regarding the most effective antibiotic for the offending microbe. If your doctor suspects you have a viral upper respiratory infection (such as a cold or the flu), it is unlikely that he or she will recommend a culture or antibiotic.

  • Allergy Testing

    If your ENT specialist thinks that allergies may exacerbate the inflammation due to your chronic sinusitis, they may order an allergy skin test. This test may help determine the environmental allergens that are causing your allergies.

Accepted Insurances

Note: Health plans that are currently contracted with UHealth are listed below. However, please check with your insurance provider to verify that UHealth is part of your provider network.

  • Aetna WC
  • Aetna Affiliates/Signature Adm (ASA)
  • Aetna Behavioral Health
  • Aetna Elect Choice (EPO)
  • Aetna Florida Healthy Kids
  • Aetna HMO
  • Aetna Medicaid HMO
  • Aetna Medicare HMO
  • Aetna Medicare PPO
  • Aetna POS
  • Aetna PPO
  • Aetna UM Employee HMO 1
  • Aetna UM Employee HMO 2
  • Aetna UM Employee POS HRA
  • Aetna/Coventry Institutes of Excellence (IOE)
  • Amerigroup Florida Healthy Kids
  • Amerigroup Medicaid HMO
  • Argus Vision
  • AvMed Choice
  • AvMed HMO/POS
  • AvMed MDC and JHS Groups
  • AvMed Medicare HMO
  • AXIS
  • BCBS Blue Options Network Blue PPO
  • BCBS BlueCare HealthOptions HMO
  • BCBS BlueChoice PPC/PPO
  • BCBS Miami Dade Blue PPO Limited Benefits Plan
  • BCBS of Florida (All products except "SELECT" Plans)
  • BCBS of Florida (Commercial plans exclude HIX Select)
  • BCBS Traditional PHS/PPO
  • Beacon Health (ValueOption)
  • Beech Street PPO
  • Broward Health Medical Center
  • CarePlus Medicare HMO
  • Catholic Hospice
  • CCP/CMS Title XIX (Medicaid Enrolled in South Florida)
  • CCP/CMS Title XXI (Non Medicaid Enrolled in South Florida)
  • CCP/MMA (Broward County residents)
  • Charlotte County Sheriffs Office PPO
  • Cigna Affiliates
  • Cigna Behavioral Health
  • Cigna Dental HMO/PPO
  • Cigna EPO
  • Cigna HMO
  • Cigna Life Source (Intracorp is part of Cigna Lifesource)
  • Cigna MDCPS Jackson Sr. High
  • Cigna POS
  • Cigna PPO
  • Cigna Shared Administration
  • Clear Health Alliance SNP Medicaid HMO
  • Concordia Behavioral Health
  • CorVel WC
  • Coventry First Health WC
  • Coventry Health Care of Florida (HIP) HMO/POS
  • Coventry Health Care of Florida (HIP) PPO
  • Coventry Health Plan of Florida (Foundation) HMO
  • Coventry Health Plan of Florida (Foundation) POS
  • Coventry National PPO
  • Coventry Summit Medicare HMO
  • Coventry Vista Medicare HMO
  • Coventry First Health PPO
  • Delta Dental PPO
  • DentaQuest (ADI)
  • DIKLA
  • Dimension WC
  • Dimension Plus PPO
  • EHN PPO
  • EQUIAN (Health Systems International)
  • Europe Assistance/Global Corporate Solutions (Care Management Network)
  • eyeQuest
  • FCCI WC
  • Florida Healthcare Plan (Affiliate of BCBSFL)
  • Florida PACE (FPC)
  • Freedom Health Medicaid HMO
  • Freedom Health Medicare HMO
  • Gallagher Bassett WC (MDCPS & FCSRMC)
  • Global Excel Mgt PPO
  • Great West (Cigna) HMO/POS
  • Guardian Life PPO
  • HAA Preferred Partners
  • Health First Health HMO/POS
  • Health First Health Medicare HMO
  • Health First Health PPO
  • Health Net Veterans Choice HMO
  • Heritage Summit Healthcare WC
  • Humana Behavioral Health (LifeSynch)
  • Humana Dental/CompBenefits/OHS
  • Humana EPO
  • Humana HMO
  • Humana Medicaid HMO
  • Humana Medicare HMO
  • Humana National Transplant
  • Humana PPO
  • Humana Premier
  • iCare Health Solutions
  • Interlink Health Services
  • International Kids Fund (IKF)
  • League Medical Concepts Federal Inmates
  • Life Trac
  • Magellan Behavioral Health
  • Magellan Complete Care SNP Medicaid HMO
  • MDAbroad
  • Medica Medicare HMO
  • Medical Development In't (MDI)-Federal Inmates
  • Medicus
  • Metlife Dental PPO
  • MHNet Behavioral Network (MHNet)
  • Molina
  • Molina Market Place
  • Molina Medicaid HMO
  • Molina Medicare HMO
  • Morgan White International
  • MultiPlan PPO
  • Naphcare (Federal Prisoners)
  • National Healthcare Solutions Inc.
  • Neighborhood HealthPlan HMO/POS
  • Neighborhood HealthPlan PPO
  • North Broward Hospital District PPO
  • Olympus Managed Healthcare
  • Optum
  • Positive Healthcare SNP Medicaid HMO
  • Positive Healthcare SNP Medicare HMO
  • Prestige Health Choice Medicaid HMO
  • Prime Health Services WC
  • Quality Health Management
  • Religious Order of Jehovah's Witnesses PPO
  • Rockport Healthcare Group WC
  • Royal Caribbean Cruises PPO
  • Sanus Health Corporation
  • Seasons Hospice
  • Simply Healthcare Medicaid HMO
  • Solstice Dental HMO/PPO
  • Start Healthcare Network
  • Sunshine
  • Sunshine AMBETTER
  • Sunshine Healthy Kids HMO
  • Sunshine Medicaid HMO
  • Sunshine Medicare HMO
  • Tricare South Prime HMO
  • Tricare South Standard PPO
  • United Behavioral Health (UBH)
  • UnitedHealthcare Affiliates
  • UnitedHealthcare Healthy Kids HMO
  • UnitedHealthcare HMO/POS
  • UnitedHealthcare Medicaid HMO
  • UnitedHealthcare Medicare Nursing Home Plan
  • UnitedHealthcare PPO
  • University of Miami Athletic Dept PPO
  • VUMI
  • Wellcare/Staywell Healthy Kids HMO
  • Wellcare/Staywell Medicaid HMO
  • Wexford Health State Inmates
  • Worldwide Managed Care