Non-specific

Aetilogy:

• repeated attacks of acute sinusitis in which nasal allergy, vasomotor rhinitis and hormonal dysfunction have been excluded

Bacteriology:

• mixed; streptococcus and anaerobes most common

Presentation:

• similar to acute forms but less severe
• frankly purulent or mucois postnasal or nasal discharge
• nasal obstruction
• headache
• anosmia
• constitutional upset - usually mild; malaise, loss of appetitie, sore throat, eustachian tube dysfunction

Treatment:

• decongestants - oral if used long term
• systemic antibiotics