Acute rhinosinusitis. The role of topical therapy

Abstract

Rhinosinusitis is one of the most common diseases in clinical practice in relation to which which patients seek doctor's aid. The vast majority of acute rhinosinusitis is caused by viral agents with tropism to respiratory epithelium. In case of mild to moderate disease (mild pain, temperature less than 38.3° C), symptomatic treatment includes topical antibiotics, decongestants, topical corticosteroids, irrigation and elimination therapy. Antibacterial broad-spectrum drugs such as amoxicillin are recommended for patients whose symptoms do not improve within 7 days, or whose condition worsens. Radiographic studies are not recommended in examination for acute uncomplicated rhinosinusitis. Computed tomography also should not be used as a routine method of examination, though it can be used to identify anatomic abnormalities and suspected complications of acute bacterial rhinosinusitis, such as orbital, intracranial lesions and lesions of bone structures. Using compound topical preparations with a broad spectrum of anti-bacterial, anti-inflammatory and vasoconstrictor effects can help adequately manage uncomplicated forms of acute viral, postviral and bacterial sinusitis.