A Pragmatic Approach Towards Sinonasal Diseases

James H. Clark, Fuad M. Baroody, Robert M. Naclerio

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Sinonasal disease in its multiple forms affects billions of people worldwide. Although physicians train to precisely diagnose a patient and then treat appropriately, the sheer number of people afflicted with sinonasal disease precludes this approach. We argue that patients should first be treated with an intranasal corticosteroid for 2 weeks. Based on their perceived response, they should be triaged. Those who respond well can be instructed on how to continue to manage their disease. Those who do not would be referred to allergists or otolaryngologists for diagnosis and treatment. We believe this pragmatic approach is safe, provided first-line physicians, physician assistants, and nurse practitioners recognize some warning symptoms and signs of serious, but infrequently occurring, sinonasal diseases that would not lend themselves to this proposed approach.

Original languageEnglish (US)
Pages (from-to)1556-1558
Number of pages3
JournalJournal of Allergy and Clinical Immunology: In Practice
Issue number5
StatePublished - May 2020


  • Allergic rhinitis
  • Chronic rhinosinusitis
  • Classification
  • Intranasal corticosteroids
  • Sinonasal disease

ASJC Scopus subject areas

  • Immunology and Allergy


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