How is chronic rhinosinusitis managed?

People with chronic rhinosinusitis (CRS) can manage it in a few different ways: 

1. Medical treatment – This usually includes nasal rinses (salt-water solutions) and daily intranasal corticosteroid sprays to reduce swelling. Antibiotics may be prescribed if there’s an infection, and sometimes a short course of oral steroids is given. 
2. Surgery – If medications don’t help, surgery might be needed to clear blockages and fungal buildup, remove polyps, and improve sinus drainage and breathing. 
3. Monoclonal antibody therapy – For people with ongoing symptoms, even after medicine and surgery, a specialist may consider this advanced treatment. It’s only available to those who meet set requirements.