LAX Leader

• Overusing antibiotics has been linked to an increased risk of chronic diseases.
• People who develop resistance to antibiotics can face increased risk if they experience infections related to other medical procedures.
• Balloon sinuplasty is a safe and minimally invasive procedure utilized by surgeons to address chronic sinusitis.

Antibiotics are frequently prescribed for chronic sinusitis, but they carry certain risks, and alternative treatments are available for those suffering from sinus issues. According to Dr. Matt Hershcovitch of SoCal Breathe Free, treatments that avoid antibiotics can be beneficial for those with sinus issues, as they help prevent antibiotic resistance.

“Antibiotic resistance and immunity are huge problems in medicine,” Dr. Hershcovitch told the LAX Leader. “Chronic sinusitis is a very difficult thing to treat and is often overtreated and unsuccessfully treated with multiple rounds of antibiotics. This leads to bacterial resistance, which makes future infections harder to treat and puts the patient at risk for serious complications. The best thing to do is actually to restore normal sinus function.”

People suffering from sinusitis may experience symptoms including congestion, facial pain, headaches, toothaches, nasal drainage, a reduced ability to smell, fever, and bad breath, according to NHS Inform. Individuals experiencing symptoms lasting for over one week are advised to consult a physician. An Ear, Nose, and Throat (ENT) specialist may suggest using a saline solution, over-the-counter medication, or prescribe antibiotics or a corticosteroid spray. If these treatments fail to alleviate the symptoms of sinusitis, the ENT specialist may also advise sinus surgery.

According to WebMD, approximately 90% of adults diagnosed with acute sinusitis in the United States—a sinus infection lasting less than four weeks—are prescribed antibiotics. A sinus infection lasting for more than 12 weeks is called chronic sinusitis.

An article published by the Mayo Clinic reports that up to one-third to one-half of antibiotic use in humans is unnecessary or inappropriate, according to the Centers for Disease Control and Prevention (CDC).

The Cleveland Clinic highlights that numerous sinus infections may stem from viral causes. It's important to note that antibiotics are ineffective at treating viral infections. Overusing antibiotics or needlessly employing them to address viral infections can cause unnecessary side effects and cause patients to develop antibiotic resistance, potentially making future infections more challenging to treat.

According to SoCal Breathe Free's website, Dr. Matt Hershcovitch earned his undergraduate degree in nuclear engineering from the Massachusetts Institute of Technology (MIT). He attended medical school at the State University of New York. Hershcovitch completed his residency in head and neck surgery at the University of Cincinnati Medical Center and further specialized with a fellowship in facial plastic and reconstructive surgery at Stanford University.