The article by Dr Graham Worrall on acute sinusitis1 is a nice case that leads into a discussion of the evidence. Nothing much works for the uncomplicated (ie, usual) presentation, so why do so many people get antibiotics? I am a fan of nasal steroids, based on my own n-of-1 trials, but I know I might be fooling myself; now I prescribe them only if asked. Saline irrigation also works well in those who can stand the procedure.
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Competing interests
None declared
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