Repeat infections of the sinuses treated with antibiotics about 4 or more times year is called Recurrent Acute Rhinosinusitis. When and how extensive surgery might be for this entity is controversial. This condition can be treated with ongoing observation and medical management or surgery. It’s not unreasonable to follow such patients and determine if they truly have recurrent acute sinusitis as their history suggests. Dr. Khetarpal conducted research on a small number of such patients examining their CT scans during an acute infection and their results with balloon sinuplasty. This research was summarized in five presentations at the International Meeting of Rhinology in Chicago, June 5-9.