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This guidance covers sinusitis of less than 3 months duration. Usually follows viral upper respiratory tract infection (URTI).
Sinusitis of more than 3 months duration.
If patient presents with bloody discharge or progressive unilateral symptoms a 2ww referral should be made directly to ENT.
If suspicion of orbital or intracranial complications same day urgent referral to ENT.
Plain sinus x ray not indicate.
Initial management supportive:
Persistent (more than 5 days) or severely or rapidly deteriorating symptoms:
In addition to above
Non resolution in 14 days consider:
Refer to ENT if:
Information to include in referral:
This guideline has been signed off by the Western Locality on behalf of NEW Devon CCG.
Publication date: March 2016