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Montgomery News

Sunday, December 22, 2024

DC doctor: Inflammation can ‘lead to a sinus infection’

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Dr. Manish Khanna | Capitol Breathe Free

Dr. Manish Khanna | Capitol Breathe Free

  • Physical symptoms of chronic sinusitis can include nasal inflammation, runny nose, postnasal drainage, congestion, pain or swelling in the face, headaches, loss of smell and taste, sore throat, bad breath, or fatigue. 
  • Short-term sinusitis could be caused by something such as a common cold, but chronic sinusitis may be caused by an infection or some other ailment.
  • Balloon sinuplasty is a procedure often recommended for people with chronic sinusitis.
Inflammation of the sinuses is one of the key indicators of chronic sinusitis, a condition that affects many Americans. According to Dr. Manish Khanna of Capitol Breathe Free, allergies can cause inflammation and potentially serious sinus infections. 

"Sinus inflammation clogs those tiny sinus openings, and when those openings are clogged, the mucus that the sinus lining is producing just hangs around in the nasal passages," Khanna told Montgomery News. "That causes bacteria to overgrow and lead to a sinus infection.

Nasal inflammation, also referred to as sinusitis, involves the inflammation or swelling of the sinus lining, according to the American Sinus Institute. This condition can obstruct air passages, leading to increased mucus production and the potential for infection. It's a relatively common issue, often triggered by something as simple as the common cold. Additionally, allergic rhinitis, which involves swelling of the nasal lining, can contribute to nasal inflammation. Another possible cause is a deviated septum or a structural shift within the nasal cavity, which can also initiate this condition.

Nearly 37 million Americans suffer from at least one episode of acute nasal inflammation each year, according to the American Sinus Institute. Those who suffer from conditions such as blockage of drainage ducts, nasal polyps, narrow drainage ducts, nasal mucous membrane swelling, or those whose medications compromise the immune system could be at greater risk for this condition. Children who are exposed to second-hand smoke may also be more likely to have an attack.

According to WebMD, your sinuses are air-filled spaces inside your forehead, cheekbones, and behind the bridge of your nose. When the sinuses become inflamed—usually due to an allergic reaction or an infection—they swell, produce more mucus, and the channels that drain them can become blocked. The buildup of pressure in your sinuses can cause pain that feels similar to a headache.

Balloon sinuplasty, also known as balloon catheter dilation surgery, is a procedure to clear blocked sinuses. According to Healthline, this procedure is relatively new, having been approved by the Food and Drug Administration in 2005. Balloon sinuplasty is most often recommended for people with chronic sinusitis after other treatments for their condition have proven ineffective. Balloon sinuplasty is fairly straightforward, and reported complications are minimal.

According to Capitol Breathe Free's website, Dr. Khanna earned his undergraduate degree at the University of Maryland, Baltimore County. The following year, he completed his postgraduate research at the National Institutes of Health (NIH). In 2002, he received his medical degree from Albany Medical College. He then secured a place in the otolaryngology residency program at Albany Medical Center, where he completed his surgical internship and residency, holding the position of chief resident until 2007. Following the residency, Dr. Khanna obtained a fellowship in rhinology—advanced endoscopic sinus surgery—at the California Sinus Institute in Palo Alto, California. He concluded his fellowship in rhinology and achieved board certification in otolaryngology—head and neck surgery—in 2008 before returning to the D.C. metro area.

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