What are the symptoms of chronic sinusitis

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Chronic sinusitis (CRS) is defined as 12 weeks or more of two or more of the following signs and symptoms:

  • Mucopurulent drainage (anterior or posterior)
  • Nasal obstruction
  • Facial pressure or pain or fullness
  • Decreased smell

In addition, inflammation must be documented by one or more of the following findings:

  • Radiographic imaging showing inflammation in the sinuses
  • Polyps in the nasal cavity
  • Purulent mucus or edema in the middle meatus or anterior ethmoid

Traditionally chronic sinusitis is managed first with saline rinses and a topical nasal steroid. For patients that continue to have a decrement in their quality of life despite medical therapy, then endoscopic sinus surgery can be considered as an option.