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Acute rhinosinusitis in adults: an update on current management

Department of Otolaryngology, Luton & Dunstable Hospital, Associated Teaching Hospital of the University of London, Lewsey Road, Luton, UK

Correspondence to:
Correspondence to:
Dr Ioannis Moumoulidis
36 Moorhouse Way, Kettering, Northants, NN15 7LX, UK; moumoulidis{at}aol.com

Acute rhinosinusitis is a common disease with worldwide prevalence. It is a significant burden on the health services. It is most commonly caused by viruses and is self-limiting in nature. The diagnosis of acute rhinosinusitis is clinical and sinus radiography is not indicated routinely. Most cases of acute rhinosinusitis are treated symptomatically. However, symptoms may persist beyond 10 days when secondary bacterial infection prevails. Antibiotics are reserved for moderate or severe cases or when there is development of complications of acute rhinosinusitis. This paper provides an update on the current management of acute rhinosinusitis.