Strategy details:
This is an observation cross section study conducted in Jazan tertiary referral hospital in Saudi Arabia from May 2018 to July 2020 . The inclusion criteria of our study were all the patients above 18 years old to attending the outpatient clinic in the study period with chronic rhino sinusitis (inflammation of the mucosa of the nose and paranasal sinuses which lasts for 12 weeks or longer) (2) , we exclude patients with history for previous management protocol in addition to any facial anomalies, nasopharyngeal mass, cystic fibrosis, immunodeficiency syndrome, and immotile cilia syndrome or tumors were excluding them from our study.
Main outcome measures ; Influence of Chronic Rhino sinusitis on Quality of Life and Risk of Depression and Lost Productivity.