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A Journal on Otorhinolaryngology, Head and Neck Surgery,
Plastic Reconstructive Surgery, Otoneurosurgery
Indexed/Abstracted in: EMBASE, Scopus
Otorinolaringologia 2007 September;57(3):137-47
Management of sinusitis
Thiel G., Ah-See K.
Department of Otolaryngology Aberdeen Royal Infirmary, Aberdeen, Scotland, UK
In most individuals with sinusitis, rhinitis coexists. It is therefore now widely accepted that the more accurate term should be rhinosinusitis. Rhinosinusitis is a common condition, resulting in a large number of primary care visits each year. The direct and indirect health costs are great. A variety of practitioners are involved in the diagnosis and treatment of rhinosinusitis, including general practitioners, otolaryngologists and pulmonologist. Unified approach to definition, diagnosis and management is therefore important to achieve unity and comparability for clinical as well as for research applications. The condition is often classified into acute and chronic according to its duration, 12 weeks generally being the dividing line between the two. A further entity in the spectrum has recently been the focus of increased interest and research. Fungal rhinosinusitis shares characteristics with the other classified forms of rhinosinusitis but is a separate entity with different diagnostic and therapeutic challenges. Chronic rhinosinusitis has a large impact on the patient’s life, causing more impairment in social functioning and greater bodily pain than many other chronic conditions, including congestive heart failure, angina, chronic obstructive pulmonary disease and back pain. Complications of rhinosinusitis are less common nowadays than they were in the pre-antibiotic era. If they occur, however, the morbidity and mortality can be considerable. Complications include orbital cellulites and abscess, intracranial abscess, meningitis and cavernous sinus thrombosis.