When is otolaryngology consultation for acute sinusitis (sinus infection) indicated?

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

Emergent otolaryngology consultation for admission and definitive care should be obtained in all patients with suspected CNS or orbital invasion or fungal infections. These patients may present with the following symptoms:

  • Abnormal vision

  • Mental status changes

  • Periorbital edema

Consider outpatient referral to an otolaryngologist for patients with subacute or chronic sinusitis. The following consultations are indicated:

  • Ear, nose, and throat specialist for complications or when routine management techniques fail

  • Infectious disease specialist in complicated cases

  • Ophthalmological or neurosurgical consultation when either orbital or intracranial complications develop

  • Surgical consultation when chronic sinusitis is refractory to maximal medical therapy or a complication such as formation of mucopyocele with orbital or intracranial extension is suspected


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