xRead - Nasal Obstruction (September 2024) Full Articles

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International consensus statement on rhinosinusitis

TABLE I-1 Diagnostic criteria for ARS Acute Rhinosinusitis (ARS) Adult Sinonasal inflammation lasting less than 4 weeks associated with the sudden onset of symptoms. Symptoms must include both: Nasal blockage/obstruction/congestion OR nasal discharge (anterior/posterior) AND Facial pain/pressure OR reduction/loss of smell Radiology and endoscopy are not required for diagnosis Acute Rhinosinusitis (ARS) Pediatric Sinonasal inflammation lasting less than 12 weeks associated with the sudden onset of symptoms. Symptoms must include 2 or more of the following: Nasal blockage/obstruction/congestion Discolored nasal discharge (anterior/posterior) Cough (daytime and night-time) Radiology and Endoscopy are not required for diagnosis Recurrent Acute Rhinosinusitis (RARS) Four or more episodes of ARS per year with distinct symptom-free intervals between each episode. Each episode must meet the above criteria for ARS. Acute Exacerbation of Chronic Rhinosinusitis (AECRS) Sudden worsening of CRS symptoms with a return to baseline symptoms, often after treatment

FIGURE I-1 Diagnostic algorithm for RS