HelpDesk AnswersIn adult patients with chronic sinusitis, what are the indications for specialist referral?Manek, Megha MD; Kashif, Chahal MD; Tiwari, Rachna MD Author Information Guthrie Robert Packer Hospital Sayre, PA Evidence-Based Practice 18(3):p 10, March 2015. | DOI: 10.1097/01.EBP.0000540918.26485.0e Buy Metrics Abstract Evidence-Based Answer The answer is unclear. Patients with chronic sinusitis who have failed medical management may benefit from referral for functional endoscopic sinus surgery (FESS). The intervention likely improves symptoms. However, FESS does not appear to improve cure rates (SOR: B, heterogeneous RCTs). © Copyright 2015 Family Physicians Inquiries Network, Inc.