The affected sinus appears opaque on x-rays, but CT provides better definition of the extent and degree of sinusitis. If the maxillary sinus is affected, x-rays of the teeth may be needed to exclude a dental root abscess. If an abscess is present, the affected tooth may require extraction. Treatment Treatment is aimed at improving drainage and controlling the infection. Antibiotics should be given for at least 10 to 12 days if acute bacterial sinusitis is suspected.
Antibiotic therapy is usually effective.
If it is not, surgical drainage may be necessary. Atrophic Laryngitis With age, minor salivary gland tissue is lost, and moisture in the larynx decreases. Muscle atrophies, vibratory mass decreases, fibrous tissue support is lost, and squamous metaplasia develops. These changes may cause a chronic tickle in the throat with a constant urge to clear it. In elderly men, a high, trembling, weakened voice may be the first sign of age's effects on the larynx.