xRead - Nasal Obstruction (September 2024) Full Articles

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Orlandi et al.

TABLE VII-3 Evidence for using radiographic imaging to establish the diagnosis of ARS Study Year LOE Study Design Study Groups Clinical Endpoint Conclusions Balk 313 2001 2 Meta-analysis via modeling Patient with 14 days of sinus symptoms with 1. No antibiotics 2. Empiric antibiotics 3. Clinical-criteria guided treatment 4. Radiography guided treatment Cost-effectiveness Sinus radiography treatment was never cost-effective for initial treatment in this patient population Gwaltney 216 1994 3 Prospective cohort study Patients with the “common cold” Abnormality within the sinuses on CT scan The majority of patients with the “common cold” had multiple abnormal findings within the sinuses on CT scan, thus CT cannot distinguish between URI andABRS Setzen 311 2012 4 Clinical consensus statement ARS Need for CT imaging in ARS CT imaging is not indicated in clinically diagnosed uncomplicated cases of ARS Cornelius 312 2013 4 Clinical consensus statement ARS Need for CT imaging in ARS CT sinus is only recommended if atypical symptoms and diagnosis is uncertain or suspecting complications