914A COMPARATIVE STUDY BETWEEN MEDICAL AND SURGICAL TREATMENT OF CHRONIC RHINO SINUSITISIn setting of severe scarcity of Indian literature on impact of disease and whether there should be any variation in treatment in view of tropical climate, with this study. Our aim is Comparison of symptomatic relief after surgical and medical treatment of chronic rhino sinusitis and Comparison of recurrence rate after surgical and medical treatment. Maximal medical therapy found superior to functional endoscopic sinus surgery in CRS. More symptomatic improvement achieved by maximal medical therapy than surgery in CRS. CRS should be initially targeted with maximal medical therapy and surgery should be considered only if maximal medical therapy fails. Pre-operative and post-operative maximal medical therapy decrease recurrence rate after sinus surgery and improve outcomes of sinus surgery. Though immunotherapy was not included in this study it may give better result in CRS especially in those cases associated with allergic componentdrvrvkk@gmail.comResearch7122016Chronic Rhinosinusitis, medical management, surgical management, treatment outcomesHari Prasad B,Lakshmi Narasimha RaoAssociate Professor of ENT, Sri Lakshmi Narayana Institute of Medical Sciences, Pondichery, India,Assistant Professor of ENT, Sree Balaji Medical College & Hospital, Chennai, Tamil Nadu, India.