Changing diagnostic and treatment strategies for chronic sinusitis
WILLIAM WAGNER, MD
Dr. Wagner is head of the Section of Adult Allergy and Immunology at the Cleveland Clinic and is a member of the Sinusitis Committee of the American Academy of Allergy, Asthma and Immunology.
Treating chronic sinusitis may at times require courses of antibiotics much more prolonged than those used in acute sinusitis, but not ail patients with radiographic evidence of sinusitis require antibiotics. Chronic sinusitis and chronic asthma frequently occur together and may share a common pathogenesis. This article explores current knowledge about this common respiratory problem and presents an algorithm for its evaluation and treatment.