Alexander Chiu · Dr. Alexander Chiu, an Elsevier author
Video5 min·Published Jun 2026

Dr. Alexander Chiu, an Elsevier author

With Dr. Alexander Chiu

Chapter 1 of 3 · Fundamentals

Sinusitis burden

Chronic sinusitis epidemiology and impact on quality of life

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What the experts said8 expert statements
Chronic sinusitis affects at least 30 million people a year, and the actual numbers are probably much higher than quoted.
EpidemiologicalAlexander Chiu
Chronic sinusitis has a bigger detriment on quality of life than lower back pain, according to some studies.
EpidemiologicalAlexander Chiu
Chronic sinusitis symptoms include inability to breathe through the nose, facial pressure, loss of taste and smell, persisting for 12 weeks or longer—sometimes years or a lifetime.
ClinicalAlexander Chiu
Most chronic sinusitis cases can be treated with medicines, but some patients who do not respond require surgical intervention.
ClinicalAlexander Chiu
For beginners to endoscopic sinus surgery, the operative field appears as 'a big field of red,' requiring step-by-step correlation of anatomy via illustrations, CT, MRI, and endoscopic views.
ClinicalAlexander Chiu
The Atlas of Endoscopic Sinus and Skull Based Surgery pairs illustrations, CT scans, MRI scans, and endoscopic pictures to guide readers step-by-step from patient preparation to closure and postoperative care.
ClinicalAlexander Chiu
Adoption of endoscopic sinus and skull-based techniques in some developing countries lags 3 to 5 years behind the United States.
OpinionAlexander Chiu
The atlas spans the spectrum from basic sinus procedures (first 10 chapters) to advanced skull-based tumor procedures (later chapters), allowing surgeons to progress as they gain experience.
ClinicalAlexander Chiu