How is sinusitis diagnosed?
The diagnosis of sinusitis is based primarily on clinical symptoms and physical exam. Many of the symptoms of sinusitis may be seen in other conditions, making it essential that an accurate diagnosis is made. The American Academy of Otolaryngology – Head and Neck Surgery has developed major and minor factors, as described below, to make it easier to diagnose sinusitis.

A strong history of sinusitis is indicated when patients have two major factors or one major and two minor factors. Fever or pain alone without other symptoms does not typically suggest sinusitis. The diagnosis and treatment of each patient must be individualized depending upon the specifics of their case. A CT scan (CAT scan) or X-ray are not usually obtained in order to make the diagnosis of sinusitis, unless there is concern for a potential complication. 

In addition to taking a thorough history, ENT physicians are able to examine the lining of the nose/sinuses with a small nasal telescope.  This painless procedure greatly enhances our ability to evaluate and treat patients with sinus problems. In addition to looking at the condition of the nasal lining, we can obtain very specific bacterial culture swabs if needed. 

 Learn how a Nasal Telescope is used

Who treats sinusitis?
Sinusitis is a very common disease that is treated by a variety of physicians. Most patients begin by seeing their primary care providers (internists, pediatricians, family practice doctors, or physician assistants/nurse practitioners). Patients with significant asthma may see a pulmonologist or allergist. Others are often referred to ear, nose, and throat (ENT) doctors (also known as otolaryngologists). ENT physicians are able to provide both comprehensive medical and surgical treatments for sinusitis.

Some otolaryngologists have chosen to specialize further in the field of rhinology (the study of diseases of the nose and sinuses). Their practices are generally limited only to patients with sinus or nose problems and they have completed a fellowship (an additional year of training after residency) devoted exclusively to treatment of patients with the most complex sinus diseases. Dr. Schlosser is currently the ONLY fellowship-trained adult and pediatric sinus surgeon in the state of South Carolina. Dr. Hoy has completed additional training after residency in otolaryngic allergy and is expected to achieve fellowship status in the American Academy of Otolaryngic Allergy (an organization devoted exclusively to the treatment of allergic diseases affecting the ears, nose, and throat) in 2003/2004.  

Other Online Resources:
 Sinusitis (National Institute of Allergy and Infectious Diseases)

 Sinusitis (American Academy of Family Physicians)

 Sinusitis (American Academy of Family Physicians)- Español

 Tips to Remember: Sinusitis (American Academy of Allergy, Asthma, and Immunology)