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Board-Certified · Internal Medicine · Medical Director
All 50 states + DC·Video visit
In-network: Aetna, BCBS, UnitedHealthcare +18 more plans
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Chronic sinusitis is inflammation of the paranasal sinuses lasting more than twelve weeks, often with nasal obstruction, facial pressure, post-nasal drainage, and reduced sense of smell. It may be driven by allergy, anatomic obstruction, nasal polyps, biofilms, or fungal disease rather than a single bacterial infection. Evaluation may include nasal endoscopy and a CT of the sinuses. Treatment generally combines intranasal steroids, large-volume saline irrigation, treatment of underlying allergy, and selective antibiotic or surgical referral when conservative measures fail.