CONSULT REQUEST GUIDELINES                                                                         Print

Sinusitis

Suggested Pre-Referral Evaluation and Management Guidelines
1)3-6 week course of medical therapy including broad-spectrum oral antibiotic and nasal steroid spray.
2)Early referral for patients with exacerbation of RAD or in asthmatics whose asthma is progressively more difficult to manage related to sinusitis or complications of sinusitis.
Suggested Additional Test/Management Prior to Specialty Visit
1)Screening or dedicated sinus CT without contrast for chronic symptoms without evidence of complications. For patients who are suspected of having complications (progressive swelling around the eye over weeks or months, patients suspected of having intracranial complications, etc) should have dedicated axial and coronal CTs 3mm cuts WITH CONTRAST. UM radiology preferred. If outside imaging obtained, patients MUST hand carry actual or copies of films (or CDs or DVDs) to appointment.
2)Provide documentation of prior treatment and response to therapy.
3)Consider sweat test for cystic fibrosis.
Patient Education/Information (includes preps) Sinusitis
Saline Nasal Sprays & Irrigation
Appointment Timeframe Next Available Appointment
How to Get Results to Consultant UMHS Patients: See Careweb.
External Patients: Hand carry results including hard copies or diskette of any imaging studies to visit.
Clinic Contact Information Physicians: 800-362-9555
Patients: 734-936-5730
Clinic Location Sites 1) Livonia Center for Specialty Care
2) Taubman Health Care Center
UM Consulting Physician General Otolaryngology Faculty - Pediatric
Revised on: 08/20/2009
 
 

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