Diagnosis of sinusitis in adults: History, physical examination, nasal cytology, echo, and rhinoscope

Druce, Howard M.

doi:10.1016/0091-6749(92)90165-x

Cited by 45 publications

(27 citation statements)

References 22 publications

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“…D When the clinical history suggests sinusitis, a directed physical examination can help differentiate sinusitis from a simple upper respiratory tract infection or AR. [54][55][56][57][58]61,67 The examination begins with careful inspection of the face. Acute sinusitis can be associated with swelling and tenderness overlying an affected area; rarely, with orbital involvement, diplopia or proptosis can be observed.…”

Section: Summary Statementsmentioning

confidence: 99%

The diagnosis and management of sinusitis: A practice parameter update

Slavin

Spector

Bernstein

et al. 2005

Journal of Allergy and Clinical Immunology

328

369

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Section: Summary Statementsmentioning

confidence: 99%

The diagnosis and management of sinusitis: A practice parameter update

Slavin

Spector

Bernstein

et al. 2005

Journal of Allergy and Clinical Immunology

328

369

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“…The diagnosis of ARS is clinical and based on multiple symptoms, including nasal congestion or blockage, drainage or postnasal drip (PND), facial pressure/pain, and reduction in the sense of smell. [147][148][149][150][151] ARS may also be associated with regional upper airway symptoms such as sore throat, hoarseness, and cough, as well as nonspecific systemic complaints such as malaise, fatigue, and low-grade fever. 147,152 Nasal endoscopy and radiographic imaging are not required for diagnosis in uncomplicated cases.…”

Section: Vc Ars: Diagnosismentioning

confidence: 99%

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Orlandi

Kingdom

Hwang

et al. 2016

Int Forum Allergy Rhinol

554

888

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Background:The body of knowledge regarding rhinosinusitis (RS) continues to expand, with rapid growth in number of publications, yet substantial variability in the quality of those presentations. In an effort to both consolidate and critically appraise this information, rhinologic experts from around the world have produced the International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR:RS). Methods:Evidence-based reviews with recommendations (EBRRs) were developed for scores of topics, using previously reported methodology. Where existing evidence was insufficient for an EBRR, an evidence-based review (EBR) was produced. The sections were then synthesized and the entire manuscript was then reviewed by all authors for consensus. Results:The resulting ICAR:RS document addresses multiple topics in RS, including acute RS (ARS), chronic RS (CRS) with and without nasal polyps (CRSwNP and CRSsNP), recurrent acute RS (RARS), acute exacerbation of CRS (AE-CRS), and pediatric RS. Conclusion:As a critical review of the RS literature, ICAR:RS provides a thorough review of pathophysiology and evidence-based recommendations for medical and surgical treatment. It also demonstrates the significant gaps in our understanding of the pathophysiology and optimal management of RS. Too o en the foundation upon which these recommendations are based is comprised of lowerlevel evidence. It is our hope that this summary of the evidence in RS will point out where additional research efforts may be directed. C 2016 ARS-AAOA, LLC. Key Words:rhinosinusitis; chronic rhinosinusitis; acute rhinosinusitis; recurrent acute rhinosinusitis; evidence-based medicine; systematic review; endoscopic sinus surgery List of Abbreviations Used

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“…CT scan has been shown to accurately describe the anatomy of the paranasal sinuses and the disease. However, many patients with the clinical diagnosis of sinusitis may have no demonstrable CT evidence of disease [5]. In this prospective study we found that 83% patients with symptomatic CRS refractory to medical management showing minimal changes on CT had significant improvement ([75%) in the overall symptom score after FESS at the end of 12-month followup.…”

Section: Discussionmentioning

confidence: 69%

“…Although CT of paranasal sinuses has emerged as the preferred radiological test for confirming the disease and for planning sinus surgery, imaging is neither sufficiently sensitive nor sufficiently specific [4,5]. Symptomatic CRS patients without significant radiological evidence of disease on CT scan is a commonly encountered clinical situation.…”

Section: Introductionmentioning

confidence: 99%

Outcome of Endoscopic Sinus Surgery in Patients with Symptomatic Chronic Rhinosinusitis with Minimal Changes on Computerised Tomography

Chakravarti

Naglot

Dhawan

2011

Indian J Otolaryngol Head Neck Surg

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This study was designed to assess the efficacy of functional endoscopic sinus surgery (FESS) in chronic rhinosinusitis (CRS) patients with minimal radiological findings, and based on one centre, prospective randomized controlled study, conducted in the Department of Otorhinolaryngology, Lady Hardinge Medical College, New Delhi. All the CRS out-patients ([18 years) refractory to 3 weeks of medical therapy were radiologically evaluated with computerised tomographic scan (CT) of nose and paranasal sinuses. These patients were grouped based on CT scoring (Lund Mackay staging system): group A (CT score 0-6) and group B (CT score 7-24); with 35 patients in each group. All the patients underwent FESS using Messerklinger technique. Symptom scoring of all the patients was done using visual analog scale preoperatively and postoperatively at 1-, 3-, 6-and 12-month follow-up. CRS patients with minimal evidence of disease on CT showed statistically significant improvement in symptom scores after FESS. There was no significant difference noted in the overall symptom score improvement as well as for improvement in specific symptoms in both the groups. Further, there was no correlation between the pre-operative symptoms and CT scores. A good subjective outcome in terms of symptom improvement can be obtained with FESS in patients with CRS with minimal evidence of disease on CT.

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Diagnosis of sinusitis in adults: History, physical examination, nasal cytology, echo, and rhinoscope

Cited by 45 publications

References 22 publications

The diagnosis and management of sinusitis: A practice parameter update

The diagnosis and management of sinusitis: A practice parameter update

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Outcome of Endoscopic Sinus Surgery in Patients with Symptomatic Chronic Rhinosinusitis with Minimal Changes on Computerised Tomography

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