Drugs, Surgery, Endoscopic Sinus Surgery As Remedies for Chronic Rhinosinusitis

There is no overall consensus on what constitutes medication therapy “failure” in patients with CRS. Thus, deciding on which patients are solid candidates for ESS can be difficult, experts note. But several practical guideposts do exist for making the determination.

Dr. Kennedy said the first step is to remember that “the primary therapy for chronic sinusitis is medical therapy; surgery really should be adjunctive to our best efforts to clear CRS with a well-considered drug regimen.”