Last reviewed: October 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • presence of risk factors
  • facial pain/pressure
  • nasal obstruction
  • nasal discharge/postnasal drip
  • purulence
  • headache

Other diagnostic factors

  • fatigue
  • cough
  • hyposmia/anosmia
  • fever
  • halitosis
  • dental pain
  • ear pain/pressure

Risk factors

  • ciliary dysfunction
  • aspirin sensitivity
  • allergic rhinitis
  • airway hyperreactivity/asthma
  • previous sinus surgery
  • immunodeficiency
  • severe mid-septal deviations
  • concha bullosa deformity
  • paradoxically bent middle turbinates
  • foreign bodies
  • craniofacial anomalies
  • smoking
  • sarcoidosis
  • Wegener's granulomatosis
  • hx asthma

Diagnostic investigations

1st investigations to order

  • anterior rhinoscopy
  • nasal endoscopy
Full details

Investigations to consider

  • sinus CT
  • sinus MRI
  • nasal/sinus cultures
  • allergy testing
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Associate Professor

Chairman and Residency Program Director

Department of Otolaryngology

Saint Louis University School of Medicine

Chief, Division of Rhinology & Sinus Surgery

Co-Director, Saint Louis University Sinus Institute

St Louis

MO

Disclosures

JA declares that he has no competing interests.

Section Head of Rhinology, Sinus, and Skull Base Surgery

Head and Neck Institute

Cleveland Clinic Foundation

Cleveland

OH

Disclosures

RS is Editor-in-Chief of the American Journal of Rhinology and Allergy, Oceanside Publications. RS is an author of a number of references cited in this monograph.

Peer reviewers VIEW ALL

Professor

James H. Quillen College of Medicine

East Tennessee State University

Johnson City

TN

Disclosures

RPB declares that he has no competing interests.

Assistant Professor of Otolaryngology - Head and Neck Surgery

St Louis University School of Medicine

St Louis

MO

Disclosures

TS declares that he has no competing interests.

Chief

ENT Department

Istanbul Training and Research Hospital

Istanbul

Turkey

Disclosures

OY declares that he has no competing interests.

Assistant Professor/Consultant

Academic Medical Center

Amsterdam

The Netherlands

Disclosures

CG declares that he has no competing interests.

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