Review of current guidelines related to the diagnosis and treatment of rhinosinusitis

  title={Review of current guidelines related to the diagnosis and treatment of rhinosinusitis},
  author={Aaron N. Pearlman and David B Conley},
  journal={Current Opinion in Otolaryngology \& Head and Neck Surgery},
  • A. PearlmanD. Conley
  • Published 1 June 2008
  • Medicine
  • Current Opinion in Otolaryngology & Head and Neck Surgery
Purpose of reviewRhinosinusitis is one of the most common medical complaints, affecting nearly 31 million US citizens annually. Multiple medical professionals including emergency medicine, internal medicine, allergy, and otolaryngology treat rhinosinusitis, resulting in high-practice variability. This review will discuss recommendations of the 2007 American Academy of Otolaryngology – Head and Neck Surgery's multispecialty panel on evidence based clinical practice guidelines for diagnosis and… 

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There is no universally accepted regimen for the treatment of chronic rhinosinusitis (CRS), however, the maximal medical treatment has shown that it can reduce the surgical treatment rate for CRS.

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The association of severity of symptoms with paranasal sinus CT scan findings and diagnostic nasal endoscopy findings in patients of CRS is studied.

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The results of this study suggest that SCDDT is a complex entity that needs a careful diagnostic approach based on CT scans and presurgical endoscopy.

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Rhinosinusitis is an inflammation of the nasal mucosa and paranasal sinuses, affecting more than 31 million Americans, and is caused by various inflammatory processes.

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The levels of RANTES and eotaxin-2 in nasal fluid could be reliable markers for assessing corticosteroid administration outcomes in patients with perennial allergic rhinitis and nonallergic and allergic form of chronic rhinosinusitis with nasal polyps.

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Only a few ENT is regarding to sinus lift complications, while another group of ENT with specifically oral surgery knowledge planning and does the surgery, because their awareness about maxillary sinus anatomy, histology, physiology and pathology is limited.

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In this guideline, we will present the supporting evidence for and make specific recommendations on how clinicians evaluating acute sinusitis can differentiate bacterial causes from viral causes and

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A review of the literature was performed to assess which clinical signs and symptoms can predict an acute purulent sinusitis, compared with accepted reference standards and an elevated erythrocyte sedimentation rate and increased C-reactive protein contributed to the diagnosis.

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Applications of endoscopy in preoperative evaluation and postoperative management of chronic rhinosinusitis are reviewed, particularly in cases involving eosinophilic inflammation.

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Eosinophils are found in significantly higher numbers in sinus mucosa than in nasal mucosa, suggesting a site-specific role in rhinosinusitis, and Histopathologic evidence of rhinitis is associated with chronic sinusitis, which supports the concept of rhinesinusitis rather than sinuitis alone.