Sinusitis is one of the most common health conditions in the United States. According to the Centers for Disease Control and Prevention, nearly 12 percent of adults are diagnosed with sinusitis each year. While many people think of it as simple sinus congestion, sinusitis can affect different sinus cavities in distinct ways, leading to varying symptoms.

At New York Sinusitis Treatment, patients receive expert care from Gregory Levitin, a board-certified Otolaryngologist–Head and Neck Surgeon. With more than 20 years of experience, Dr. Levitin has helped thousands of patients manage sinus headaches, chronic sinusitis, post-nasal drip, and snoring.

The Four Main Sinus Cavities

The sinuses are air-filled spaces located within the bones of the face and skull. There are four paired sinus cavities:

• Frontal sinuses
• Maxillary sinuses
• Ethmoid sinuses
• Sphenoid sinuses

Each plays a role in humidifying air, enhancing voice resonance, and protecting the respiratory system. When these cavities become inflamed or blocked, sinusitis can develop.

Frontal Sinuses

The frontal sinuses are located in the forehead, just above the eyes. Infection in these sinuses often causes pain or pressure in the forehead area.

Patients with frontal sinusitis may experience:

• Forehead headaches
• Tenderness above the eyebrows
• Worsening pain when bending forward

Frontal sinus infections can sometimes be mistaken for tension headaches due to their location.

Maxillary Sinuses

The maxillary sinuses are the largest sinuses and sit beneath the cheeks and above the upper teeth. These are the most commonly affected sinuses in acute sinusitis.

Symptoms of maxillary sinusitis often include:

• Cheek pain or pressure
• Upper tooth discomfort
• Facial swelling
• Thick nasal discharge

Because the roots of the upper molars sit close to the maxillary sinuses, patients may confuse sinus-related pain with dental problems.

Ethmoid Sinuses

The ethmoid sinuses are located between the eyes. Infection here can cause pressure around the eyes and bridge of the nose.

Ethmoid sinusitis may result in:

• Pain between or behind the eyes
• Swelling of the eyelids
• Reduced sense of smell

In children, ethmoid sinus infections are relatively more common due to sinus development patterns.

Sphenoid Sinuses

The sphenoid sinuses are located deeper within the skull, behind the eyes. Although less commonly infected, sphenoid sinusitis can produce unique symptoms.

Patients may report:

• Deep headaches
• Pain at the top or back of the head
• Ear discomfort

Because of their deep location, sphenoid sinus infections can sometimes go undiagnosed without advanced imaging.

How Sinusitis Develops

Sinusitis occurs when sinus openings become blocked, often due to viral infections, allergies, or structural issues. This blockage traps mucus, creating an environment where bacteria may grow.

Acute sinusitis typically lasts fewer than four weeks, while chronic sinusitis persists for 12 weeks or longer. Chronic sinusitis affects approximately 1 in 8 adults and can significantly impact quality of life.

Symptoms may vary depending on which sinuses are involved. Common signs include:

• Facial pressure or pain
• Nasal congestion
• Post-nasal drip
• Headaches
• Fatigue

Expert Diagnosis and Treatment

Accurate diagnosis is key to effective treatment. Dr. Gregory Levitin uses advanced diagnostic tools to identify which sinuses are affected and determine the best course of action. Treatment may include medication, allergy management, minimally invasive procedures, or surgical intervention when necessary.

At New York Sinusitis Treatment, patients benefit from specialized care tailored to their specific sinus anatomy and symptoms.

If you are struggling with persistent sinus headaches, congestion, or facial pain, schedule a consultation to better understand your sinus health and explore effective treatment options.