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Sinusitis

Chirag N. Shah, MD, Grant Wei, FACEP, MD and Daniel Idahosa, B.S., M.D. Reviewed 04/2024
 


BASICS

DESCRIPTION

  • Acute sinusitis is a symptomatic inflammation of ≥1 paranasal sinuses of <4 weeks duration resulting from impaired drainage and retained secretions accompanied by obstruction, fac...

DIAGNOSIS

  • History and physical exam suggest and establish diagnosis but rarely helpful in distinguishing bacterial from viral causes.

  • Use a constellation of symptoms rather than a particular sign or sy...

TREATMENT

Most cases resolve with supportive care (treating pain, nasal symptoms). Antibiotics should be reserved for symptoms that persist >10 days, onset with severe symptoms (high fever, purulen...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Return if no improvement after 72 hours or no resolution of symptoms after 10 days of antibiotics. 

PROGNOSIS

Alleviation of symptoms within 72 hours with complete ...

REFERENCES

1
Chow AW, Benninger MS, Brook I, et al. for Infectious Diseases Society of America. IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults. Clin Infect D...

CODES

ICD10

  • J01.41 Acute recurrent pansinusitis

  • J01.0 Acute maxillary sinusitis

  • J01.80 Other acute sinusitis

  • J30.9 Allergic rhinitis, unspecified

  • J01.1 Acute frontal sinusitis

  • J01.81 Other acute recurrent s...

CLINICAL PEARLS

  • Most cases resolve with supportive care (treating pain, nasal symptoms).

  • Reserve antibiotics for symptoms >10 days, or if 3 to 4 consecutive days of severe symptoms (high fever, puru...

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