Carey, A.Wormald, P.2006-06-262006-06-262004Medicine Today: the peer reviewed journal of clinical practice, 2004; 5(11):27-321443-430Xhttp://hdl.handle.net/2440/10441• Most cases of acute rhinosinusitis are viral and will settle without the need for antibiotics. • Uncomplicated chronic rhinosinusitis may require directed antibiotics and two to three months of nasal corticosteroids and saline douches before medical management can be said to have failed. • In carefully selected patients, functional endoscopic sinus surgery will produce satisfactory outcomes in 85 to 90% of patients. • If complications develop or the patient is immunocompromised, urgent referral to an otolaryngologist is mandatory. • In the absence of facilities for CT scanning, plain sinus radiographs have a role in confirming the diagnosis.enJournal article00200418382-s2.0-914423299556002Wormald, P. [0000-0001-7753-7277]