When is evaluation by an otolaryngologist indicated for acute sinusitis (sinus infection)?

Updated: Mar 01, 2018
  • Author: Itzhak Brook, MD, MSc; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Most patients with acute sinusitis are treated in the primary care setting. Further evaluation by an otolaryngologist is recommended when any of the following exist:

  • When continued deterioration occurs with appropriate antibiotic therapy

  • When episodes of sinusitis recur

  • When symptoms persist after 2 courses of antibiotic therapy

  • When comorbid immunodeficiency, nosocomial infection, or complications of sinusitis are present


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