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Chronic Rhinosinusitis Disease Program - An Overview

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The chronic rhinosinusitis disease program helps to provide a wide range of services for infections of the sinuses.

Written by

Dr. Pallavi. C

Medically reviewed by

Dr. Akshay. B. K.

Published At June 19, 2023
Reviewed AtJune 19, 2023

Chronic sinusitis is an infection and swelling of the sinuses that lasts for a long time. It can linger for a while, usually for more than a month. The four pairs of sinuses in the skull are cavities or spaces. There are little canals that connect these areas. The four gaps are called ethmoidal, sphenoidal, frontal, and maxillary, after the nearby bones. Thin mucus is produced by the sinuses and is expelled through the nasal passages. This discharge keeps the nose germ-free and clean by acting as a filtration system.

When the sinuses are obstructed and filled with fluid, they can become infected. It is known as sinusitis. Acute, subacute, chronic, and recurring sinusitis are some subtypes. Contrary to chronic sinusitis, acute sinusitis usually subsides within a few days, although it can persist for as long as four weeks. Treatment options for chronic sinusitis may vary. Surgery may be necessary in severe cases of chronic sinusitis that do not improve with conventional treatments.

Since the symptoms of chronic sinusitis do not go away for extended periods, it differs from recurrent sinusitis. In recurrent sinusitis, individuals experience four or more episodes of the condition in a single year, although there are also times when individuals are symptom-free.

What Does Chronic Rhinosinusitis Disease Program Do?

The general chronic rhinosinusitis disease program provides a wide range of services. An inflammation of the sinuses, severe chronic rhinosinusitis with symptoms that persist for 12 weeks or more.

In addition to having severe chronic rhinosinusitis, patients may additionally have:

  • Nose growths.

  • Allergies in the nose.

  • Fungal allergic rhinosinusitis.

  • Rhinosinusitis with eosinophilic mucin.

  • The respiratory condition is made worse by aspirin.

  • Vasculitis.

Other uncommon sinus diseases include immotile cilia syndrome. When possible, they prefer to treat the patient's condition using medication. Drugs, however, are not usually successful in treating severe chronic rhinosinusitis brought on by recurrent infections, significant nasal polyposis, poorly managed asthma, or other causes. In these circumstances, doctors might suggest that patients seek surgery with renowned ENT (ear, nose, throat) specialists. They may co-manage the continued care following surgery with the ENT specialist.

The Chronic Rhinosinusitis Disease Programme is also a referral hub for ENT experts and general practitioners.

Patients with severe chronic rhinosinusitis who have a diagnosis or suspect a diagnosis are assisted by:

  • Checking for allergies.

  • Determining whether an allergy, bacterial illness, or immunological deficit is to blame

  • Investigating innovative therapeutic modalities

  • If possible, the patient is returned to the care of the referring physician after receiving treatment recommendations from the allergy or immunology specialists. They are pleased to work with the referring doctor to arrange medical management for severe chronic rhinosinusitis, which typically necessitates lifelong treatment.

How Is It Conducted?

One of the allergy or immunology specialists will conduct a thorough evaluation during the initial visit that includes the following:

  • An examination of the medical background, previous sinus CT (computed tomography) scans, and earlier pathology reports (if one has undergone sinus surgery),

  • A medical evaluation

  • Examining potential allergic, infectious, and immunologic causes of the condition

  • The immune system may need to be tested if one has a history of recurring illnesses.

  • Based on the evaluation findings, the allergy or immunology specialist will probably recommend medication to manage the condition. We provide cutting-edge and efficient treatments, such as topical antibiotics, antifungal sinus rinses, topical steroid rinses, and antibiotics (a standard strategy for controlling severe chronic rhinosinusitis).

What Is the Advantage of These Programs?

The team-based approach to care used in the program is beneficial for patients with significant chronic rhinosinusitis. For help with diagnosis and treatment, allied pulmonology and infectious disease disciplines have world-class doctors at their disposal. These programs often collaborate with ENT specialists from other hospitals to assess patients with uncommon infections or other challenging conditions.

Although drugs are usually successful, roughly 25 % of the patients need surgery to relieve their symptoms. ENT surgeons normally operate, as necessary, and work with the specialists to make decisions about surgery and manage ongoing care.

What Is the Speciality of These Programs?

  • Individual Care: Care for patients with severe chronic rhinosinusitis is a specialty of these programs. It can be challenging to determine the exact etiology of this ailment (such as a bacterial infection, fungus, or noninfectious inflammation). The team's experience is essential to getting the proper diagnosis and creating a successful treatment strategy.

  • Access to Specialists: Chronic rhinosinusitis disease program allergists and immunologists are well-known nationally and worldwide for their clinical and research excellence in treating severe chronic rhinosinusitis. They have delivered lectures and directed workshops at numerous significant gatherings of allergists and immunologists to promote the study and treatment of this illness.

  • Innovative Research: These programs are devoted to innovative research that results in better treatment for individuals with chronic sinus illness. Intranasal antibiotics, topical steroids, and new injectable biologic medicines, among other novel medications, have been the subject of numerous clinical studies showing they are successful in treating severe chronic rhinosinusitis and nasal polyps.

  • Data Collection: Programme project funds are made accessible to several researchers with varying areas of competence who seek to collaborate in research by combining their skills and resources. These grants are more complex in scope and finance than individual research grants. These funds will support ongoing research into the genetic, environmental, molecular, and immunologic causes of chronic rhinosinusitis to find novel ways to treat this condition.

The program focuses on the epidemiology of chronic rhinosinusitis disease. It collects data through surveys, sinus CT (computed tomography) scans, sinus endoscopies on individuals with nasal and sinus symptoms, and traditional primary data sources, including paper medical records. This will enable them to create new methods for comprehending this condition's diagnosis, treatment, natural history, and risk factors.


Patients who have chronic rhinosinusitis may experience severe symptoms. It involves paranasal sinus inflammation, which causes facial pain or pressure, nasal and sinus discharge, loss of smell, and nasal blockage. However, more information is needed about the common ailment, who gets it, why they acquire it, and the most effective treatment methods. Many of these difficulties will be addressed by these programs.

Source Article IclonSourcesSource Article Arrow
Dr. Akshay. B. K.
Dr. Akshay. B. K.

Otolaryngology (E.N.T)


chronic sinusitis
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