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No U-turn on managing sinusitis

From Mr C Repanos

Specialist registrar in otolaryngology, head and neck surgery, Plymouth

I read with interest your article on sinusitis (News, 20 July). I deal with patients with acute, chronic and acute-on-chronic rhino-sinusitis every day.

I disagree with the conclusions in the box entitled 'Managing sinusitis' and also your headline 'U-turn on sinusitis care'.

As far as I am aware there has been no such thing. Antibiotics still form the mainstay of treatment for those who follow evidence-based medicine.

One study performed in general practice does not equate to changing practice for most practitioners, yet the story seems to imply that this study has radically altered current perspectives.

I was at an international conference on rhinosinusitis recently and I can assure you that the findings you reported are not replicated by evidence accrued over the years.

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