2016 Section 5 Green Book

TABLE OF CONTENTS

Selected Recent Materials - Reproduced in this Study Guide

2016 SECTION 5: RHINOLOGY AND ALLERGIC DISORDERS

ADDITIONAL REFERENCE MATERIAL………………………………………….i-vi

I.

Rhinology A. Olfaction

Henkin RI, Schultz M, Minnick-Poppe L. Intranasal theophylline treatment of hyposmia and hypogeusia: a pilot study. Arch Otolaryngol Head Neck Surg . 2012; 138(11):1064-1070. EBM level 2............................................................................................................................................1-7 Summary : This is an open-label study designed to determine whether intranasal theophylline methylpropyl paraben can correct hyposmia and hypogeusia. In a cohort of ten patients, oral theophylline treatment improved taste and smell acuity in six patients after 2 to 12 months of treatment. Intranasal theophylline treatment improved taste and smell acuity in eight patients after 4 weeks, with improvement greater than after oral administration.

B. Nasal Cavity

1. Septum, turbinates, empty nose Leong SC. The clinical efficacy of surgical interventions for empty nose syndrome: a systematic review. Laryngoscope . 2015; 125(7):1557-1562. EBM level 3.......................8-13

Summary : Leong presents a systematic review of prior studies evaluating surgical outcomes for empty nose syndrome.

C. Paranasal Sinuses 1. Diagnosis a. Imaging

Garneau J, Ramirez M, Armato SG 3rd, et al. Computer-assisted staging of chronic rhinosinusitis correlates with symptoms. Int Forum Allergy Rhinol . 2015; 5(7):637-642. EBM level 3................................................................................................................14-19 Summary : This study presents a modification of the Lund-Mackay (LM) system. Each sinus is still scored on a scale of 0 to 2. However, partial opacification in each sinus is quantified by volume using a computer-based algorithm and then assigned a score from 0 to 2. Unlike the conventional LM score, the modified LM system had correlation with symptoms measured by the total nasal symptom scores. b. Guidelines Brietzke SE, Shin JJ, Choi S, et al. Clinical consensus statement: pediatric chronic rhinosinusitis. Otolaryngol Head Neck Surg . 2014; 151(4):542-553. EBM level 3..........................................................................................................................20-31

Summary : This article presents the clinical consensus statement for pediatric chronic sinusitis diagnosis and management from the American Academy of Otolaryngology–Head & Neck Surgery Foundation.