Sinusitis

Prim Care. 2025 Mar;52(1):87-97. doi: 10.1016/j.pop.2024.09.010. Epub 2025 Jan 3.

Abstract

This study provides a comprehensive overview of sinusitis, detailing its pathophysiology, clinical manifestations, diagnostic criteria, and management strategies. Sinusitis, characterized by inflammation of the paranasal sinuses, can be acute, subacute, recurrent, or chronic, with distinct clinical presentations and treatment approaches. Diagnosis relies on clinical evaluation, imaging studies, and occasionally nasal endoscopy. Treatment encompasses both pharmacologic and non-pharmacological interventions, including antibiotics for bacterial cases and intranasal corticosteroids to reduce inflammation. Surgical interventions like functional endoscopic sinus surgery may be required for refractory cases. Emerging therapies, such as biologics and minimally invasive procedures, offer promising alternatives to traditional management approaches.

Keywords: Acute bacterial sinusitis; Chronic sinusitis; Pott puffy tumor; Rhinosinusitis; Sinusitis.

Publication types

  • Review

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use
  • Anti-Bacterial Agents / therapeutic use
  • Endoscopy
  • Humans
  • Primary Health Care
  • Sinusitis* / diagnosis
  • Sinusitis* / drug therapy
  • Sinusitis* / physiopathology
  • Sinusitis* / therapy

Substances

  • Anti-Bacterial Agents
  • Adrenal Cortex Hormones