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Chronic Rhinosinusitis
Aka: Chronic Rhinosinusitis, Chronic Sinusitis
- See Also
- Allergic Fungal Sinusitis
- Definition
- Persistent symptoms despite 2 months treatment
- Etiology
- Results from repeated cases of Acute Sinusitis
- Mucus membrane loses normal function
- Mixed bacterial flora
- Staphylococcus aureus
- HaemophilusInfluenzae
- Anaerobes (ID)
- Fungal organisms in immunocompromised patients
- Inadequately treated Allergic Rhinitis
- Allergic Fungal Sinusitis
- Imaging
- Sinus CT
- Management
- Antibiotics (See Acute Sinusitis)
- Surgery
- Septaplasty with or without turbinate reduction
- Endoscopic performed outpatient
- Removal of anatomic sinus block
- Improves symptoms in 85%
- Allergy Consultation
- Consider Immunologic work-up
- Reference
- Chester (1996) Am Fam Physician 53(3): 877-887