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A Journal on Otorhinolaryngology, Head and Neck Surgery,
Plastic Reconstructive Surgery, Otoneurosurgery
Indexed/Abstracted in: EMBASE, Scopus
Otorinolaringologia 2007 December;57(4):175-81
Surgical therapy for acute and chronic rhinosinusitis
Benninger M. S.
Department of Otolaryngology Head and Neck Surgery Henry Ford Hospital, Detroit, MI, USA
Rhinosinusitis is a term that describes a common group of disorders characterized by inflammation of the mucosa of the nose and sinuses. Rhinosinusitis is often categorized into subgroups based on the length of time of symptoms and signs. The two major categories are acute rhinosinusitis and chronic rhinosinusitis (CRS). Acute rhinosinusitis is predominantly treated medically with antibiotics and anti-inflammatory agents, and surgery is rarely required. CRS, however, is often much more challenging with multiple treatment options available, none of which are universally effective in all patients. Because of this, many patients eventually are treated with surgery. Surgery has the potential to alleviate symptoms and to provide prolonged, if not permanent, alleviation of symptoms. Some patients, however, require intermittent surgical revisions. This paper will describe acute and CRS, will describe medical therapeutic options, but will focus primarily on the indications for, techniques of and success of surgical treatment.