Topical antibiotics are not recommended as first-line treatment for routine chronic rhinosinusitis
TRIO Best Practices » Rhinology
Flexible nasal endoscopy best to gauge adenoid size; lateral neck x-ray can be used for children unable to cooperate with endoscopy
Submucosal resection combined with lateral displacement is most effective at decreasing nasal obstruction caused by inferior turbinate hypertrophy
The optimal regimen is weekly debridement until normalization, or at least stabilization, of the endoscopic exam
Is there sufficient evidence to continue to recommend this treatment for patients diagnosed with CRS?
Nasal dressings have frequently been advocated to improve wound healing and prevent ongoing bleeding after endoscopic sinus surgery (ESS). Initial experience focused on removable nasal packing materials; however, their adverse effect profile, such as pain/discomfort and mucosal trauma, has driven the development of absorbable biomaterials. Despite these developments, there is still little agreement on the optimal choice of nasal dressing or whether nasal dressings are required at all