xRead - Nasal Obstruction (September 2024) Full Articles

20426984, 2021, 3, Downloaded from https://onlinelibrary.wiley.com/doi/10.1002/alr.22741 by Stanford University, Wiley Online Library on [01/07/2024]. See the Terms and Conditions (https://onlinelibrary.wiley.com/terms-and-conditions) on Wiley Online Library for rules of use; OA articles are governed by the applicable Creative Commons License

276

International consensus statement on rhinosinusitis

Length of symptoms not associated with ABRS. Clinical exam findings of secretions in the nasal cavity, posterior

pharynx, or middle meatus at 9

to 10 days associated with ABRS

Sinus tenderness, pressure, postnasal drainage, and

discolored nasal discharge were highly associated with ARS diagnosis

Paranasal mucosal abnormalities and occlusion of OMC are present early (2-3 days), and remain constant (9-10 days) during ARS/ABRS episode. There is a weak correlation between CT findings and symptom scores.

Klossek 299 2011 4 Cross sectional survey ARS Symptom prevalence Most common symptoms were nasal obstruction, pain, rhinorrhea, and headache Hueston 300 1998 4 Retrospective case series ARS URI Association between symptoms and ARS diagnosis

Study Year LOE Study Design Study Groups Clinical Endpoint Conclusions ARS ABRS

Association between symptoms, clinical

exam findings and ABRS diagnosis

Association between abnormal CT

findings, time course of ARS/ABRS, and symptoms

ABRS

ARS

Autio 306 2015 4*** Prospective inception cohort

Autio 305 2016 4*** Prospective inception cohort

TABLE VII-1 (Continued)

*Level of evidence was downgraded because of heterogeneity of studies included. These also included many studies with a high risk for bias. **Level of evidence was downgraded because the limited number of studies included. ***Level of evidence was downgraded because of the limited number of patients.

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