Postgrad Med J 83:402-408 doi:10.1136/pgmj.2006.054767
  • Review

Acute rhinosinusitis in adults: an update on current management

  1. Ajmal Masood,
  2. Ioannis Moumoulidis,
  3. Jaan Panesar
  1. Department of Otolaryngology, Luton & Dunstable Hospital, Associated Teaching Hospital of the University of London, Lewsey Road, Luton, UK
  1. Correspondence to:
 Dr Ioannis Moumoulidis
 36 Moorhouse Way, Kettering, Northants, NN15 7LX, UK; moumoulidis{at}
  • Received 27 October 2006
  • Accepted 6 February 2007


Acute rhinosinusitis is a common disease with worldwide prevalence. It is a significant burden on the health services. It is most commonly caused by viruses and is self-limiting in nature. The diagnosis of acute rhinosinusitis is clinical and sinus radiography is not indicated routinely. Most cases of acute rhinosinusitis are treated symptomatically. However, symptoms may persist beyond 10 days when secondary bacterial infection prevails. Antibiotics are reserved for moderate or severe cases or when there is development of complications of acute rhinosinusitis. This paper provides an update on the current management of acute rhinosinusitis.


  • Conflict of interest: None declared.