xRead - Nasal Obstruction (September 2024) Full Articles

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Orlandi et al.

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Normal radiography helps rule out ARS when negative. Elevated CRP and ESR help rule in ARS when positive. Lindbaek 301 2002 2** Systematic review ABRS ARS Purulence on maxillary sinus tap correlated with symptoms Purulent rhinorrhea,

significantly associated with acute maxillary sinusitis

Overall clinical impression and purulent secretions in the middle meatus best predict ARS. Overall clinical

impression, cacosmia, and pain in the teeth best predict ABRS. Ebell 304 2016 2* Systematic review ARS Association between laboratory, imaging studies and the diagnosis of ARS

maxillary/dental pain, pain

when bending forward, and 2

phases of illness correlated with presence of maxillary sinus purulence.

purulent rhinorrhea, especially

when unilateral, with maxillary sinus empyema

TABLE VII-1 Evidence for diagnosis of ARS Study Year LOE Study Design Study Groups Clinical Endpoint Conclusions Ebell 297 2019 2* Systematic review ARS ABRS Association between clinical findings and diagnosis of ARS andABRS

Elevations in ESR and CRP

High reliability of local pain,

with acute maxillary sinusitis

sinus symptoms and empyema

ESR, CRP association

Association between

Acute maxillary sinusitis

Maxillary empyema

No maxillary empyema

Hansen 307 1995 3 Prospective cohort study

Berg 303 1988 3 Validating cohort study