Changing diagnostic and treatment strategies for chronic sinusitis

ABSTRACT

Treating chronic sinusitis may at times require courses of antibiotics much more prolonged than those used in acute sinusitis, but not all patients with radiographic evidence of sinusitis require antibiotics. Chronic sinusitis and chronic asthma frequently occur together and may share a common pathogenesis. This article explores current knowledge about this common respiratory problem and presents an algorithm for its evaluation and treatment.