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

322

International consensus statement on rhinosinusitis

Diagnosis of CRS requires presence of symptoms > 12months.

For patients meeting symptom criteria for CRS, a nasal endoscopy can improve diagnostic accuracy (improves the specificity, PPV, and NPV to 84.1, 66, 70.3 from 12.3, 39.9, 62.5, respectively)

Patients with a positive endoscopy can be treated with empiric therapy for presumed diagnosis of CRS

Addition of nasal endoscopy was not shown to statistically improve diagnosis of CRS in patients who failed to meet guidelines Marple 526 2009 4 Literature Review AdultCRS Evaluate algorithms for the diagnosis and management ofCRS

Presence of polyps and dysosmia can distinguish between normal and diseased patients.

Failure of nasal steroids after 5-week trial suggest possible CRS and should prompt imaging confirmation

Presence of polyps, absence of dental pain, low congestion scores in presence of dental pain predict true CRS

Significant variability in interrater agreement for nasal endoscopy findings. Recommendation for

standardization of nasal endoscopy interpretation

Patients with CRS symptoms but normal physical exam should undergo nasal endoscopy.

Patients with negative physical findings of CRS should be evaluated for allergy or nasal surgery.

Study Year LOE Study Design Study Groups Clinical Endpoint Conclusions Raithatha 528 2012 3 Prospective

accuracy of CRS with use of nasal endoscopy

Evaluate correlation between CRS symptoms and radiographic findings.

Evaluate the interrater agreement of nasal

endoscopy findings in CRS

Improvement in diagnostic

202 adult patients who presented for

evaluation of CRS.

703 patients referred withCRS

Adult patients with CRS complaints

Bhattacharyya 480 2010 3 Prospective Diagnostic Cohort

double-blind

diagnostic study

multi-institutional study

Bhattacharyya 516 2006 3 Prospective

TABLE IX-1 (Continued)