Update on Chronic Sinusitis

Chronic rhinosinusitis (CRS) is a condition that a large segment of the population suffers from, with a significant decrement in quality of life. Symptoms of CRS include nasal drainage, congestion, facial pain or pressure, and smell loss. Frequently nasal allergies can contribute to symptoms. In Reno, the bulk of allergy symptoms occur in the fall, when the sagebrush and rabbit brush bloom.

The first line of treatment for CRS is a saline rinse (Neilmed sinus rinse) and an over the counter topical steroid spray (Flonase, Nasocort). For most CRS patients, this will lead to a significant increase in quality of life.   For patients that do not improve, then a consultation with an otolaryngologist can be helpful, and other treatment options can be discussed.

An option for patients that continue to have symptoms, despite appropriate medical therapy, is endoscopic sinus surgery (ESS). New technology and techniques have resulted in much less discomfort and recovery after ESS. Because of my focus on mucosal preservation, there is less bleeding; as a result I do not use nasal packing or splints for patients that undergo nasal surgery.

If you have any questions about your nose or sinus health, please do not hesitate to call and schedule an appointment.

Josh Meier, M.D. F.A.R.S.

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