Adult Chronic Sinusitis and Its Complications

By G. Douglas Campbell Jr., MD, FCCP

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Medical Management of Chronic Rhinosinusitis

The goal of medical management is to reduce the swelling and inflammation, especially of the ostia, and promote drainage and a more normal nasal environment. Most treatment regimens for chronic sinusitis include topical steroids, decongestants, empiric antimicrobial agents, and certain nonpharmacologic measures with other agents used in certain settings. Unfortunately, there are few controlled trials comparing different treatments.

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