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Adult Chronic Sinusitis and Its Complications

By G. Douglas Campbell Jr., MD, FCCP

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Table 5—Absolute Indications for Surgical Intervention in Chronic Rhinosinusitis*

Indications

Specific Findings

Extrasinus involvement

Brain abscess
Meningitis
Subperiosteal/orbital abscess
Cavernous sinus thrombosis
Contiguous infection
Impending complication (eg, Pott's tumor)

Sinus mucocele or pyocele

 

Nasal polyps

Massive polyps causing near or complete obstruction of the nasal lumen

Neoplasm

 

Invasive or allergic fungal rhinosinusistis

 

Cerebrospinal fluid rhinorrhea

 

*Data adapted from Anand et al.48

 


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