The management of rhinosinusitis depends on a number of variables related to the
duration and severity of symptoms in the individual patient. Furthermore acute
rhinosinusitis is managed differently than chronic rhinosinusitis. Because a variety
of conservative and pharmacologic interventions are available, the physician can find
it difficult to develop a cohesive and logical approach to treatment. An
understanding of the pathophysiology, microbiology, and natural history of
rhinosinusitis is necessary to formulate the best treatment plan for the individual
patient.
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