Differentiating chronic sino-nasal complaints

Persistent nasal cavity mucosal congestion is not the same as chronic inflammation of the sinus mucosa. There is good evidence for effective allergic rhinitis pharmaco- and immunotherapies. When nasal congestion becomes refractory, endoscopic turbinate reduction provides significant relief. Repetition of infective episodes is likely if an underlying chronic inflammatory condition is not managed, similar to the scenario of a person with untreated asthma. Elaborate and customised topical treatment regimens in CRS are not appropriate for those without formal endoscopic sinus surgery.