Treatment Options for Chronic Sinusitis
Treatment Options for Chronic Sinusitis
Jesse Ryan, M.D.
Assistant Professor
Head and Neck Surgery & Reconstruction
Department of Otolaryngology
January 17, 2019
Disclosures
? I have no financial relationship with any of the
companies or products discussed in this presentation.
Sinusitis: Definition
? Chronic Sinusitis
¨C Symptoms for more than 12 weeks
?
?
?
?
Nasal congestion
Post nasal drip
Facial pressure/fullness/headache
Decreased sense of smell
¨C Evidence of inflammation on exam or imaging
? Recurrent Acute Sinusitis
¨C More than four acute sinus infections per year
? Patients feel fine in between episodes
? May have normal exam and imaging between episodes
Sinusitis: Overview
Statistics
? 37 million afflicted in the US alone
? $8.6 billion in healthcare costs
? Over 58 million days of restricted activity/year
? Accounts for 1 in 5 antibiotic Rx
? 525,000 sinus surgeries per year in the US
Common Symptoms
? Purulent drainage
? Fatigue
? Facial pressure and fullness
? Facial or dental pain
? Nasal congestion
? Headache
? Anatomy
? Historical Context
? Progression of Surgical Techniques
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