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

277

Orlandi et al.

ARS Defining forms of RS Two or more symptoms of nasal obstruction and nasal drainage + / − facial pressure, + / − (Continues)

ARS Defining forms of RS Two of the 4 symptoms of facial pain/pressure, nasal obstruction, decreased or absent smell, or nasal discharge Fokkens 26 2020 4 Expert consensus statement

TABLE VII-2 Evidence for using clinical history and physical examination to establish the diagnosis of ARS Study Year LOE Study Design Study Groups Clinical Endpoint Conclusions Klossek 299 2011 2 Cross-sectional survey ARS Symptom prevalence Most common symptoms were nasal obstruction, pain, rhinorrhea, and headache Lindbaek 301 2002 2 Systematic review ABRS ARS Purulence on maxillary sinus tap correlated with symptoms Purulent rhinorrhea, maxillary/dental pain, pain when bending forward, and 2 phases of illness correlated with presence of maxillary sinus purulence Shaikh 309 2013 3 Validating cohort study ARS URI Symptom prevalence Mild symptoms, absence of green discharge or disturbed sleep more likely viral Hansen 307 1995 3 Prospective cohort study Acute maxillary sinusitis ESR, CRP association with acute maxillary sinusitis Elevations in ESR and CRP significantly associated with acute maxillary sinusitis Berg 303 1988 3 Validating cohort study Maxillary empyema No maxillary empyema Association between sinus symptoms and empyema High reliability of local pain, purulent rhinorrhea, especially when unilateral, with maxillary sinus empyema Arnstead 310 2020 4 Expert consensus statement with recommendations

reduction in smell and either directly visualized or CT changes c/w ARS are diagnostic