The assessment reveals obstruction of the Osteomeatal Complex (OMC). As you are aware, obstruction of this complex is a common cause of bacterial rhinosinusitis.

OMC Obstruction on CT Scan

The otolaryngologist decides to operate based on the patients history and physical / radiographic findings. Surgical management involves Functional Endoscopic Sinus Surgery (FESS). This usually involves removal of the uncinate process and opening of the anterior ethmoid air cells and the OMC by means of a middle meatal antrostomy.

You're All Done!

In summary, it is important to remember that rhinosinusitis is a very common condition that usually resolves without antibiotics. It is important to have an approach to diagnosing bacterial rhinosinusitis and also know when to refer your patient to a specialist. It is also very important for you to look out the for the complications of rhinosinusitis.

You have successfully completed the Rhinosinusitis Case