In uncomplicated sinusitis, outpatient management is usually successful. Patient is treated with decongestants, Nasal sprays, oral antibiotics. Antibiotic treatment should be continued for 2 weeks, with longer courses sometimes required to prevent relapses. Failure of sinusitis to resolve after an adequate course of oral antibiotics may necessitate hospitalization for IV antibiotics and possible surgical drainage and culture for atypical pathogens. They appear radiologically as smoothly expanded sinus filled with soft tissue density.
Treatment is surgical, requiring drainage or excision.
These complications are serious, fortunately they are not common. CT should be done for these patients. It should be kept in mind that paranasal sinus cancer is in the differential diagnosis of sinusitis. The presence of bone destruction on radiograph, cranial neuropathies, persistent pain, nose bleed, or a prolonged clinical course should raise the suspicion of possible cancer. If you have been asked to return to the office, your should be compliant.