Sinusitis in the aged. Optimal management strategies

Area of Science:

• Otolaryngology
• Internal Medicine

Background:

• Sinusitis is common in the elderly, but subtle presentations can delay diagnosis.
• Acute sinusitis is suspected when symptoms persist beyond a typical cold.
• Chronic sinusitis may present with nasal obstruction and purulent post-nasal drip.

Purpose of the Study:

• To outline the diagnostic challenges and treatment strategies for sinusitis in the elderly population.
• To emphasize the importance of ancillary therapies in managing sinusitis.
• To highlight the link between sinusitis and asthma control.

Main Methods:

• Clinical presentation analysis, including subtle signs in the elderly.
• Physical examination findings such as purulent nasal secretions.
• Radiographic imaging (sinus roentgenograms, CT scans) for diagnosis confirmation.

Main Results:

• Persistent symptoms post-cold are key for acute sinusitis diagnosis.
• Nasal obstruction and purulent post-nasal drip are common in chronic sinusitis.
• Thick, purulent nasal secretions are indicative on physical exam.

Conclusions:

• Effective sinusitis treatment requires antibiotics and crucial ancillary therapies.
• Ancillary therapies aim to improve sinus drainage and reduce inflammation.
• Functional endoscopic surgery may be necessary for refractory cases, and treating sinusitis can improve asthma control.