Chronic Rhinosinusitis: A Practical Management Guide
- Dr. Tamer Azab — ENT Consultant at Al Emadi Hospital, Doha, Qatar, with extensive clinical experience in ENT diagnosis, treatment, and surgical procedures
ENT
Chronic rhinosinusitis is an inflammatory condition of the nasal and paranasal sinus mucosa characterized by symptoms persisting for at least 12 weeks, including nasal obstruction, discharge, facial pressure, and reduced sense of smell. A practical management approach involves confirming the diagnosis through clinical assessment and, when indicated, nasal endoscopy or computed tomography. Initial treatment generally includes saline nasal irrigation and intranasal corticosteroids, with additional therapies guided by disease severity, nasal polyps, and associated conditions such as asthma or allergies. Patients with persistent symptoms may require specialist evaluation for biologic therapy or endoscopic sinus surgery. Recognizing treatment response, potential complications, and factors contributing to recurrence supports individualized care and long-term symptom control.