Chronic recurrent sinusitis. Recognition and treatment

Chronic recurrent sinusitis is associated with a reduced nasal passage at the middle turbinate and through the sinus ostia secondary to inflammation, structural abnormality, or increased mucus production. Adversely affecting the quality of life of many people, this common disorder can challenge the primary health care provider. Problems such as recognition of the disorder and adequate treatment are complicated by the lack of universal definition, absence of preventive measures, and dearth of clear end-point definitions for successful therapy. The myriad of symptoms makes the recognition and treatment of the disorder particularly complex.