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Chronic Sinusitis Literature-Reply

Alexander C. Chester, MD
Arch Intern Med. 1994;154(17):1996-1997. doi:10.1001/archinte.1994.00420170144021.
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Confusing terminology and contradictory statements categorize the minimal information available to the internist on the subject of chronic sinusitis. Much of this problem is caused, I suspect, by the nature of the illness. For some physicians, chronic sinusitis is a syndrome characterized by facial pain, rhinitis, and malaise; but for others, only the appropriate radiographic and endoscopic findings define the disease.

The proceedings of an otolaryngology symposium entitled "First-Line Management of Sinusitis"1 addresses the subtleties of chronic sinusitis and offers a particularly valuable guide for those in other specialties. This publication is especially helpful in describing newer concepts (eg, the primacy of the ostiomeatal complex) as well as updated techniques in functional endoscopic nasal surgery.

The collected articles of an allergy meeting devoted exclusively to sinusitis2 are also helpful. The medical perspective of this review emphasizes the allergic and immunologic features of the disease rather than the surgical and


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