For chronic sinusitis, different treatments should be chosen based on the patient’s specific condition, such as cause and symptoms. Treatments for chronic sinusitis include the use of glucocorticoid therapy, antibiotic therapy, nasal rinse therapy and nasal endoscopic surgery. The best treatment is the one that suits your condition. 1. Glucocorticoid treatment: such as budesonide nasal spray, mometasone furoate nasal spray, etc. Glucocorticoid drugs have powerful anti-inflammatory and immunosuppressive effects, and long-term use can improve the symptoms of chronic sinusitis patients and reduce mucosal inflammation. 2. Antibiotic therapy: acute exacerbation of chronic rhinosinusitis and nasal endoscopy surgery can be cefaclor, amoxicillin and other antibiotic therapy; conventional drug therapy is not effective, no eosinophilia, serum total IgE level is not high, and allergen test negative chronic rhinosinusitis patients, clinical recommendations 14 yuan ring macrolides for long-term oral intake, the course of treatment is not less than 12 weeks. 3. Nasal irrigation treatment: commonly used saline nasal irrigation, can remove nasal secretions, improve the microcirculation of the nasal mucosa, is conducive to chronic sinusitis nasal congestion, headache and other symptoms of relief. 4. Nasal endoscopic surgery: it is suitable for patients with ineffective drug treatment and obvious anatomical abnormalities. Endoscopic sinus surgery can restore the smooth drainage of the nasal sinus complex, correct the anatomical abnormality of the nasal cavity, and remove irreversible lesions, thus realizing the reconstruction of nasal sinus ventilation and drainage. Patients with chronic sinusitis should go to the hospital in time for regular treatment under the guidance of a doctor.