xRead - Nasal Obstruction (September 2024) Full Articles

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International consensus statement on rhinosinusitis

Stankiewicz 554 2002 3 Prospective Nasal endoscopy is a good predictor of CRS only if nasal polyps, purulence, or mucosal edema was present. Hopkins 1330 ‘ 4 Review CRSwNP Describe diagnosis and management of CRSwNP CRS is defined as presence of 2 + symptoms Hirsch 517 2017 4 Retrospective diagnostic study CRS patients Use of nasal endoscopy in diagnosis of CRS

Inflammation in CRSwNP may be amplified by S. aureus enterotoxin. Elevation of IgE is 1 hallmark of CRSwNP. Diagnosis of CRS requires presence of symptoms > 12months.

for ≥ 12 weeks, 1 of which must be nasal discharge or nasal obstruction as well as presence of facial pain/pressure or hyposmia. There must be 1 objective

Removal of facial pain, ear pain, dental pain, and headache increases specificity (37.1-65.1%) without significant loss of sensitivity (79.2-70.3%) for diagnosis of CRS.

Anosmia and loss of taste are distinguishing features of CRS.

Unable to distinguish between CRSsNP and CRSwNP on symptoms alone.

between CRSsNP and CRSwNP Pts with CRSwNP often have higher scores in sense of smell and rhinorrhea. Tomassen 524 2011 4 Review CRSsNPand CRSwNP Review the various pathological observations in CRS Marple 526 2009 4 Literature Review AdultCRS Evaluate algorithms for the diagnosis and

finding of polyps or pus on CT or nasal endoscopy.

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

Study Year LOE Study Design Study Groups Clinical Endpoint Conclusions Bonfils 1329 2005 3 Prospective study 474 patients with CRS symptoms Evaluate clinical

479 CRS patients Evaluate if eliminating pain symptoms

improves diagnostic

accuracy for adult CRS

significance of nasal symptoms in

diagnosis of CRS

evaluation to identify

management of CRS

Utilizing only clinical

97CRSsNP

137CRSwNP

cohort study

Case-Control Study

Dietz de Loos 564 2013 4 Retrospective

TABLE X-1 (Continued)