A prospective study was done over a period of 2 years where 78 patients with chronic rhinosinusitis were treated with sinonasal saline lavage and corticosteroidal nasal spray and results were observed. Symptomatic relief was observed in a significant proportion of patients. Combined therapy of sinonasal lavage with topical corticosteroidal spray is a definite adjunctive treatment for improvement of overall symptoms in chronic rhinosinusitis