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Most patients with 'chronic' sinus disease usually have disorders of sinus inflmmation or mechanical dysfunction (loss of mucus clearance). Chronic sinusitis is rarely an 'infectious' condition. Although bacteria take advantage of dysfunctional sinuses and create exacerbations, simplying taking antibiotics rarely solves this issues. In this lecture from our 2019 Sydney Sinus Surgery course, we review our current approach to 'inflammatory' sinus diseaes, the current phenotypes that we identify and how we approach the condition for patients. Our website: https://sydneyentclinic.com/richard-h... Google Maps Place ID: https://g.page/NoseandSinus?share Google Scholar https://scholar.google.com/citations?... Facebook / profrjharvey Publons https://publons.com/researcher/165508... Scopus https://www.scopus.com/authid/detail.... LinkedIn / richard-harvey-23799a29 Twitter / noseandsinus YouTube / profrichardharveysurgery https://www.youtube.com/c/ProfRichard... UNSW Research https://research.unsw.edu.au/people/p... UNSW ROS Research Profile https://ros.unsw.edu.au/userprofile.h... UNSW Medicine https://med.unsw.edu.au/people/associ... Macquarie University https://www.mq.edu.au/about_us/facult... St Vincent’s Private https://www.svphs.org.au/our-services... Royal Australasian College of Surgeons https://www.surgeons.org/profile/prof... Australasian Academy of Facial Plastic Surgery https://www.aafps.com.au/surgeon/dr-r...