Stafford C T
Otolaryngol Head Neck Surg. 1990 Nov;103(5 ( Pt 2)):870-4; discussion 874-5. doi: 10.1177/01945998901030S506.
Widespread underdiagnosis and inadequate treatment of acute sinusitis may be inferred from the prevalence of chronic sinusitis in the United States. Thus the otolaryngologist's role in the management of sinusitis goes beyond treatment of referred patients. It also includes the responsibility to educate referring physicians in improved diagnostic methods and earlier, more effective forms of therapy. While antral puncture is the sine qua non for determining specific diagnosis, standard radiographs and sound clinical judgment may offer practical alternatives. Early, aggressive antibiotic therapy (with ampicillin, amoxicillin, amoxicillin-clavulanate potassium, or appropriate cephalosporins), plus oral decongestants for symptomatic relief, provides therapeutic efficacy for acute sinusitis and should be considered the initial step toward prevention of chronic sinusitis.
从美国慢性鼻窦炎的患病率可推断出急性鼻窦炎普遍存在诊断不足和治疗不充分的情况。因此，耳鼻喉科医生在鼻窦炎管理中的作用不仅限于治疗转诊患者。这还包括有责任向转诊医生传授改进的诊断方法以及更早、更有效的治疗形式。虽然上颌窦穿刺是确定具体诊断的必要条件，但标准X光片和合理的临床判断可能提供实用的替代方法。早期积极的抗生素治疗（使用氨苄西林、阿莫西林、阿莫西林 - 克拉维酸钾或合适的头孢菌素），加上口服减充血剂以缓解症状，可为急性鼻窦炎提供治疗效果，应被视为预防慢性鼻窦炎的第一步。
