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World Trade Center Health Program best practices for diagnosing and treating chronic rhinosinusitis
Published in Archives of Environmental & Occupational Health, 2023
Rafael E. de la Hoz, Michael R. Shohet
In the absence of alarm symptoms, a trial therapy of saline nasal irrigation (performed one to four times daily) to limit the interface between any underlying irritants and the sinonasal mucosa is remarkably effective in both reducing airway irritant exposures and improving mucociliary clearance of such irritants. Greater severity of symptoms or findings, such as mucosal edema or excessive mucus production, may merit the addition of a topical corticosteroid.