2018 Section 5 - Rhinology and Allergic Disorders

TABLE OF CONTENTS Selected Recent Materials - Reproduced in this Study Guide

2018 SECTION 5 RHINOLOGY AND ALLERGIC DISORDERS

ADDITIONAL REFERENCE MATERIAL................................................................................i - iv

I.

Rhinology A. Chronic Sinusitis i. Diagnosis

Stevens WW, Lee RJ, Schleimer RP, Cohen NA. Chronic rhinosinusitis pathogenesis. J Allergy Clin Immunol . 2015; 136(6):1442-1453. EBM level 3....................................................................................1-12

Summary : Recent advancements in the understanding of chronic rhinosinusitis (CRS) pathogenesis are the focus of this review. The authors describe the roles of epithelial cells and the host immune response in patients with cystic fibrosis, CRS without nasal polyps, and CRS with nasal polyps. Imaging criteria Batra PS, Setzen M, Li Y, et al. Computed tomography imaging practice patterns in adult chronic rhinosinusitis: survey of the American Academy of Otolaryngology–Head and Neck Surgery and American Rhinologic Society membership. Int Forum Allergy Rhinol . 2015; 5(6):506-512. EBM level N/A..................................................................................................................................................13-19 Summary : This paper is a publication of survey results disseminated to the AAO-HNS and ARS regarding the use of CT imaging in the management of adult chronic rhinosinusitis. It covers initial use, insurance denials, and radiation exposure. Likness MM, Pallanch JF, Sherris DA, et al. Computed tomography scans as an objective measure of disease severity in chronic rhinosinusitis. Otolaryngol Head Neck Surg . 2014; 150(2):305-311. EBM level 3b.....................................................................................................................................................20-26 Summary : This paper presents a multicenter, prospective study involving patients with chronic rhinosinusitis who undergo imaging, then receive an intramuscular corticosteroid treatment, and have follow-up CT imaging. The series involves useful analysis of imaging scoring methods.

ii.

Lim S, Ramirez MV, Garneau JC, et al. Three-dimensional image analysis for staging chronic rhinosinusitis. Int Forum Allergy Rhinol . 2017; 7(11):1052-1057. EBM level 3b...............................27-32

Summary : This article reviews the utility of a novel 3D imaging analysis in patients who undergo CT imaging for symptoms of chronic rhinosinusitis.

iii.

Guidelines Orlandi RR, Kingdom TT, Hwang PH. International Consensus Statement on Allergy and Rhinology: Rhinosinusitis executive summary. Int Forum Allergy Rhinol . 2016; 6 Suppl 1:S3-S21. EBM level 3.......................................................................................................................................................33-51 Summary : This is a large clinical consensus statement on the definitions, diagnosis, and management of adult rhinosinusitis as published by the ARS that breaks down an extensive amount of data regarding all adult rhinosinusitis, in particular chronic rhinosinusitis.