Chronic rhinosinusitis means persistent inflammation of the nose and sinuses. Symptoms alone do not prove the diagnosis: duration, examination and objective evidence are considered before treatment or surgery is discussed.
Symptoms that may need assessment
Common symptoms include nasal blockage, discharge, facial pressure and reduced smell. Chronic rhinosinusitis is generally considered when compatible symptoms persist for about 12 weeks or longer, but other conditions can resemble it. Mainly one-sided symptoms, repeated bleeding or an unexplained mass require careful evaluation.
How the diagnosis is approached
An ENT assessment reviews symptom duration, previous treatment, allergy or asthma history, dental factors and the effect on sleep and daily life. Examination may include the nose and throat. Nasal endoscopy or imaging may be advised when clinically appropriate; not every patient needs every investigation.
Individualized treatment
Treatment depends on the diagnosis, inflammatory pattern, severity, previous response and associated conditions. It may include clinician-directed medical care, saline care, management of relevant allergy or asthma, observation, or referral. This page does not provide prescription names, doses, durations or a fixed pre-operative regimen. Do not start, stop or alter prescribed medicine without individualized advice.
When surgery may be considered
Endoscopic sinus surgery may be discussed for selected patients when the diagnosis is supported and symptoms remain important despite appropriate treatment, or when a complication or particular disease pattern changes the balance. The aim is usually to improve drainage and access for ongoing care; surgery does not guarantee a permanent cure.
Benefits, limitations and follow-up
Expected benefit and risk vary. Possible complications include bleeding, infection, scar formation, persistent symptoms and uncommon injury to nearby eye or skull-base structures. Chronic rhinosinusitis can relapse and may need long-term follow-up or continued medical care after surgery. The operating location, equipment, anaesthesia plan and referral pathway must be confirmed for the individual patient.
Preparing for consultation
- Bring previous scans, prescriptions and operative records.
- Note symptom duration and which treatments were actually tried.
- Bring a current medicine, allergy and medical-condition list.
- Ask where any proposed procedure would take place and what follow-up is available.
Medical information: Treatment and surgical decisions require individual examination and shared decision-making.