ORIGINAL ARTICLE The Management of Rhinosinusitis with Intensive Combined Medical Treatment: Auditing of a Practice

The medical treatment of chronic and recurrent rhinosinus-itis remains up to the primary care doctors if not the patients themselves. It is always a debate among physicians what should we order. In this study we audit our management as a secondary referral centre. We prospectively followed twelve patients after receiving intensive medical treatment with antibiotics, intranasal decongestants and intranasal ste-roids. It was found that with intensive combined medical treatment 84 % of the patients improved, and only on 8% required surgical intervention. Hospital visits were reduced from 2.7 visits per patient to one. The mean time for deci-sion taken reduced from 141.1days to 55.5 days and time waited for operation to take time reduced from 249.4 to 17 days. This treatment reduces the need to treat surgically, re-duces hospital visits and save time