The treatment of sinusitis has undergone remarkable changes as a result of twin impacts. One is the management of infection by using antibiotics; the other is the control of allergic manifestations. In addition to, and in part because of, these concepts, advances have been made in surgical techniques, but surgical procedures have become statistically less frequent and will be considered only incidentally.
The emphasis in diagnosis has changed. Although we still need to find out which sinuses are involved, we particularly need information regarding the following points:
1. The infecting bacteria, identified as to its sensitivity to antibiotics.
2. The allergic status of the patient.
3. The general medical condition, including temperature, fatigue and stress, nutrition and blood reactions, and impaired thyroid function and other endocrine abnormalities.
4. The cytologic pathology, which provides evidence of viral or bacterial activity and allergic reaction.
If, as so often happens, it is a
BRYAN WTK. Modern Treatment of Sinusitis. AMA Arch Otolaryngol. 1957;65(6):567–571. doi:10.1001/archotol.1957.03830240021005
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