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Sinusitis in the aged. Optimal management strategies

J W Knutson1, R G Slavin

  • 1St. Louis University School of Medicine, Missouri, USA.

Drugs & Aging
|October 1, 1995
PubMed
Summary

Sinusitis in the elderly presents subtly, often diagnosed by persistent cold-like symptoms. Treatment involves antibiotics, supportive therapies, and sometimes surgery for effective sinusitis management.

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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.

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