What are the symptoms of chronic sinusitis?

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:

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

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.