This presentation describes chronic sinusitis and its management

2. Commonly follows a bout of acute sinusitis

3. Mucous membrane of sinuses are damaged irreversibly

5. Chronic bronchitis

6. Bronchiectasis

7. Kartagener's syndrome

9. Congenital

10. Hypersensitivity

11. Dental sepsis

12. Poor host resistance

13. Allergy

15. Atrophic sinusitis (sclerosing / suppurative sinusitis)

16. Papillary sinusitis / Hypertrophic sinusitis

17. Follicular sinusitis – follicles are seen in the sinus mucosa

19. Soft tissues get affected secondarily

20. Periphlebitis and perilymphangitis seen

21. Polypoidal formation of mucosa occur due to repeated attacks

23. Cellular reactions occur around arterioles and arteries

24. Endarteritis is common

25. Thrombus formation occur

27. This causes papillary hyperplasia of the epithelium

28. Inflammatory cells are commonly seen

30. Mixed infective and vasomotor chronic sinusitis – is usually due to vasomotor rhinitis causing seconday infection in sinus mucosa

32. Pharyngeal symptoms

33. Ear symptoms

34. Headache

35. Eye symptoms

37. Post nasal drip

39. Routine blood tests

42. Antihistamines

43. Nasal decongestants

45. Intranasal antrostomy

46. FESS

47. Caldwell Luc surgery

48. External fronto ethmoidectomy

49. Intranasal ethmoidectomy

51. Mucocele / pyocele

52. Fistulae

53. Intracranial complications

54. Osteomyelitis