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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 - see referral guideline Chronic rhinosinusitis with or without polyps
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.
Patients with a swollen red eye and acute sinusitis maybe suffering from orbital infection
should be admitted immediately.
Plain sinus x ray not indicated.
Realistic expectation of symptom duration: 14-21 days is normal for acute sinusitis.
Initial management supportive:
Persistent (more than 5 days) or severely or rapidly deteriorating symptoms:
Non resolution in 14 days consider:
e-Referrals Service Selection