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Chronic Sinusitis

Living with constant sinus pressure, nasal congestion, and fatigue can feel overwhelming—especially when symptoms linger for 12 weeks or longer despite antibiotics, sprays, or allergy pills. This condition, known as chronic sinusitis, affects thousands of Lowcountry residents every year.

At Charleston Sinus Center, our board-certified specialists use the latest technology and personalized treatments to help patients finally find long-term relief.

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The problem

What Is Chronic Sinusitis?

Chronic sinusitis is a long-term inflammation of the sinus cavities, lasting 12 weeks or more despite multiple treatment attempts. It is more common in Charleston and the Lowcountry because of several triggers. These triggers cause swelling in the sinus lining, blocking airflow and mucus drainage, and leading to recurring infections and constant discomfort:

  • High pollen counts from oaks, pines, and flowers.
  • Humidity and water proximity leading to increased mold growth.
  • Environmental irritants like smoke and industrial pollutants.

The Symptoms

Common Symptoms of Chronic Sinusitis

  • Facial pain and pressure (forehead, cheeks, eyes)
  • Constant nasal congestion
  • Thick yellow or green mucus
  • Decreased sense of smell or taste
  • Headaches and fatigue
  • Post-nasal drip and sore throat

If these symptoms have persisted for months, it’s time to seek expert care.

Why Choose Us?

  • Board-certified ENT & sinus specialists
  • State-of-the-art endoscopic technology
  • In-office minimally invasive options like Balloon Sinuplasty
  • Comprehensive care plans: diagnosis, surgery, and long-term management
  • Proven results: 85% success rate with sinus surgery
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The treatments

How We Treat Chronic Sinusitis

1

Diagnosis

  • Nasal endoscopy (in-office camera exam)
  • CT scan of the sinuses for detailed imaging
  • Allergy testing to identify underlying triggers

2

Medical Therapy

  • Prescription nasal sprays and saline rinses
  • Oral, injectable steroids, or antibiotics
  • Immunotherapy (allergy shots) when needed

3

Balloon Sinuplasty

  • No cutting or removal of tissue
  • Local anesthesia, not general
  • Fast recovery—most patients return to normal activity in 1–2 days

4

Surgical Solutions

  • Endoscopic Surgery—no external incisions
  • HD camera ensures precision
  • Clears infection, removes polyps

Patient Testimonials

"I hate to leave a "Dr Russell and his staff was Great!" or "He was awesome!" review, except both of those things are true. I felt Dr Russell really listened to my complaint and concerns. "
"Great Dr!  He always takes time to explain whatever is going on. I've been a patient of his for about 8 years. Treated for sinusitis, nose polyps, and ear problems. Would never consider going to another ENT. Thanks Dr Russell"
"This is the first time in my life I haven't been to the doctor for a sore throat in over a year. I appreciate Dr. Russel for helping me. I am so glad he is my doctor. What a difference you've made in my life!"

What are the Benefits of Sinus Surgery

Sinus Surgery Offers Numerous Benefits Including:
  • Improved breathing and airflow through the nasal passages
  • Fewer sinus infections and reduced inflammation
  • Long-term relief from facial pressure, congestion, and headaches
  • Enhanced quality of life with better sleep and daily comfort

Frequently Asked Questions

Usually, when a person has undergone all of these medical treatments, but the symptoms have not gone away, it is because there is chronic inflammation in the bone of the sinuses and the mucosa has become so chronically swollen, that the openings to the sinuses remain closed off. So the goal with sinus surgery is to widely open up the sinuses. This allows air in, allows trapped infected mucus out, and allows nasal sprays and rinses to actually enter the sinuses and treat the chronically inflamed mucosa.

Approximately 85% of patients experience lasting relief after sinus surgery, especially when combined with ongoing medical management.

Most patients feel significantly better within 2–3 weeks. Bleeding and congestion are normal during the first few days, but pain is usually less than expected. With proper rinsing and follow-up care, patients return to normal activity in about 2 weeks

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