What interventions are safe and effective for adults with chronic sinusitis?
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Topical intranasal steroid (INS) improves symptom scores in adults with chronic rhinosinusitis (CRS). Nasal saline irrigation improves symptoms better than no treatment, but is not as effective as INS. Endoscopic sinus surgery does not appear to offer benefit superior to medical treatment (SOR: A, Cochrane reviews). The addition of antibiotics to INS therapy appears to speed recovery of CRS (SOR: B, single RCT).
Evidence Based Practice 16(6): 10-11.