Sinusitis is a common condition, but many people are surprised to learn that it is not a one-size-fits-all diagnosis. The sinuses are a complex system of air-filled cavities within the skull, and inflammation can affect different sinus groups in different ways. Understanding the specific type of sinusitis you have is essential for effective treatment and long-term relief.

At New York Sinusitis Treatment, patients receive expert evaluation and personalized care from Gregory Levitin, MD, FACS, a board-certified Otolaryngologist–Head and Neck Surgeon and Fellow of the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS).

How Common Is Sinusitis?

Sinusitis affects an estimated 30 million Americans each year, making it one of the most common reasons for doctor visits. While many cases are short-lived, chronic or recurrent sinusitis can significantly impact quality of life, causing facial pain, headaches, congestion, fatigue, and impaired sleep.

Different sinus cavities produce different symptoms, which is why accurate diagnosis is so important.

Frontal Sinusitis

The frontal sinuses are located in the forehead above the eyes. Frontal sinusitis often causes pain or pressure across the forehead that may worsen when bending forward. Some patients experience swelling or tenderness above the eyebrows.

This type of sinusitis is frequently associated with headaches and can be mistaken for migraines or tension headaches. Because the frontal sinuses drain upward against gravity, inflammation in this area can be more persistent and harder to resolve without proper treatment.

Ethmoid Sinusitis

Ethmoid sinuses are located between the eyes and behind the bridge of the nose. Ethmoid sinusitis often causes pain between or behind the eyes and may lead to swelling around the inner corners of the eyes or eyelids.

This type of sinusitis is particularly common in children but also affects adults. Because of its proximity to the eyes and brain, untreated ethmoid sinusitis can occasionally lead to more serious complications, making early evaluation important.

Sphenoid Sinusitis

Sphenoid sinuses are deep within the skull, located behind the nose and between the eyes. Although less common, sphenoid sinusitis can be especially difficult to diagnose due to vague or unusual symptoms.

Patients may experience:

• Deep headaches at the top or back of the head
• Pain behind the eyes
• Neck pain
• Visual disturbances in severe cases

Because of the sphenoid sinus’s location near critical structures such as the optic nerve and pituitary gland, proper diagnosis and management are essential.

Fungal Sinusitis

Fungal sinusitis is caused by fungal organisms rather than bacteria or viruses. It can occur in different forms, ranging from allergic fungal sinusitis to more aggressive invasive types.

Fungal sinusitis is more likely to affect individuals with:

• Weakened immune systems
• Diabetes
• Chronic sinus disease

Symptoms may resemble bacterial sinusitis but often persist despite standard treatments. Imaging studies and specialized evaluation are often needed to confirm the diagnosis and guide treatment.

Why Identifying the Type Matters

Each type of sinusitis requires a tailored approach. Treatments that work for one sinus cavity or cause may not be effective for another. Proper evaluation may include nasal endoscopy, imaging such as CT scans, and a detailed symptom review.

Dr. Levitin’s expertise allows for precise diagnosis and individualized treatment plans that address the root cause rather than just masking symptoms.

Advanced Care for Lasting Relief

New York Sinusitis Treatment focuses on helping patients find long-term solutions, whether through medical management, minimally invasive procedures, or advanced sinus treatments. Accurate identification of the affected sinuses is the foundation of effective care.

Take the Next Step Toward Relief

If sinus pressure, headaches, congestion, or facial pain are disrupting your daily life, understanding the type of sinusitis you have is the first step toward relief.

Schedule a consultation with New York Sinusitis Treatment today to receive expert evaluation from Dr. Gregory Levitin and explore personalized treatment options designed to help you breathe easier and feel better.