xRead - Nasal Obstruction (September 2024) Full Articles

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International consensus statement on rhinosinusitis

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Diagnosis of CRS based on type and duration of symptoms + objective finding of nasal inflammation.

CRS is categorized based on presence or absence of polyps.

CRS symptoms persist 12 weeks or longer. The guidelines outline similar diagnostic parameters that combine symptom assessment with objective findings.

Require presence of 2/4 symptoms (nasal congestion, anterior/posterior mucopurulent drainage, facial pain/pressure, decreased smell).

Diagnostic testing is key difference between CRS and ARS.

The diagnosis of CRS should include the presence of sinonasal inflammation as seen on anterior rhinoscopy, nasal endoscopy or CT.

Fokkens 31 2012 1 Position Paper Adults with RS Consensus statement CRSsNP and CRSwNPin adults defined as: - Nasal inflammation with 2 or more symptoms, 1 of which is either nasal Meltzer 479 2011 1 Reviewof Compare

blockage/obstruction/congestion or nasal discharge - Facial pain/pressure - Reduction/loss of smell

This should be supported by endoscopic signs of nasal polyps, purulent discharge, or mucosal edema or CT changes.

TABLE X-1 Evidence for the diagnosis of CRSwNP Study Year LOE Study Design Study Groups Clinical Endpoint Conclusions Rosenfeld 88 2015 1 Systematic Review(5 guidelines, 42 systematic reviews, 70 RCTs) Adults with RS Evidence based recommendations for adultRS

AAO-HNS, EP 3 OS

recommendations of Rhinosinusitis

Initiative, Joint Task Force on Practice Parameters,

CRSwNP 2007, British

Society for Allergy and Clinical Immunology

practice guidelines for CRS

Kaplan 142 2014 1 Clinical Practice Guidelines (Canada) CRS Clinical summary of

Rhinosinusitis and subtypes

Consensus

Statements