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Causes

By Mayo Clinic staff

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Illustration showing normal and infected sinuses 
Sinusitis

Common causes of chronic sinusitis include:

  • Nasal polyps. These tissue growths may block the nasal passages or sinuses.
  • Allergic reactions. Allergic triggers include fungal infection of the sinuses.
  • Deviated nasal septum. A crooked septum — the wall between the nostrils — may restrict or block sinus passages.
  • Trauma to the face. A fractured or broken facial bone may cause obstruction of the sinus passages.
  • Other medical conditions. The complications of cystic fibrosis, gastroesophageal reflux, or HIV and other immune system-related diseases may result in nasal blockage.
  • Respiratory tract infections. Infections in your respiratory tract — most commonly, colds — can inflame and thicken your sinus membranes, block mucus drainage and create conditions ripe for growth of bacteria. These infections can be viral, bacterial or fungal in nature.
  • Allergies such as hay fever. Inflammation that occurs with allergies may block your sinuses.
  • Immune system cells. With certain health conditions, immune cells called eosinophils can cause sinus inflammation.
References
  1. Sinuses|Sinusitius|Rhinosinusitis. American Academy of Allergy, Asthma & Immunology. http://www.aaaai.org/conditions-and-treatments/conditions-a-to-z-search/sinuses,-sinusitis,-rhinosinusitis.aspx. Accessed March 25, 2013.
  2. Lalwani AK. Current Diagnosis & Treatment in Otolaryngology-Head & Neck Surgery. 3rd ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=39. Accessed March 25, 2013.
  3. Caimmi D, et al. Nose and lungs: One way, one disease. Italian Journal of Pediatrics. 2012;38:60.
  4. Albu S. Novel drug-delivery systems for patients with chronic rhinosinusitis. Drug Design, Development and Therapy. 2012;6:125.
  5. Primary Amebic Meningoencephalitis (PAM): Prevention & control. Centers for Disease Control and Prevention. http://www.cdc.gov/parasites/naegleria/prevention.html. Accessed March 24, 2013.
  6. Meltzer EO, et al. Rhiosinusitis diagnosis and management for the clinician: A synopsis of recent consensus guidelines. Mayo Clinic Proceedings. 2011;86:427.
  7. Rudmik L, et al. Olfactory improvement after endoscopic sinus surgery. Current Opinion in Otolaryngology & Head and Neck Surgery. 2012;20:29.
  8. Fact sheet: 20 questions about your sinuses. American Academy of Otolaryngology — Head and Neck Surgery. http://www.entnet.org/HealthInformation/sinuses.cfm. Accessed March 31, 2013.
DS00232 July 2, 2013

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