Chronic sinusitis

• Chronic rhinosinusitis
  • > 12 weeks
  • Etiology
    • Impaired ventilation due to obstruction
    • Anatomical abnormalities
      • Septal deviation
      • Septal spur
    • Untreated acute rhinosinusitis
    • Chronic allergy
  • Clinical features (4 major signs, 4 minor)
    • 4 major signs
      • Nasal obstruction
      • Purulent nasal discharge (ant/post)
      • Anosmia
      • Facial pain
    • 4 minor signs
      • Cough
      • Dental pain
      • Fever
      • Halitosis
  • Diagnosis
    • Rhinoscopy/endoscopy
    • CT
  • Treatment
    • Conservative (symptomatic)
      • Decongestants
      • Antibiotics
    • Functional endoscopic sinus surgery (FESS) (definitive)‎