Clinical Intake — Chronic maxillary sinusitis

A 46-year-old non-smoking female presents with four months of progressive bilateral nasal congestion, facial pressure, and thick mucopurulent drainage beginning late September 2025. She carries a background of perennial allergic rhinitis managed with daily antihistamine therapy. Despite two sequential 14-day courses of amoxicillin-clavulanate, over three months of intranasal corticosteroid spray, and daily saline nasal irrigation, symptoms have persisted with only modest relief of congestion and no resolution of facial pressure or purulent discharge. Nasal endoscopy on 11/03/2025 confirmed bilateral middle meatal edema with active purulent drainage, and her otolaryngologist has exhausted appropriate medical therapies and recommends further evaluation.