Medical Management and Diagnosis of Chronic Rhinosinusitis: A Survey of Treatment Patterns by United States Otolaryngologists

Kaszuba, Scott M.; Stewart, Michael G.

doi:10.1177/194589240602000214

Cited by 52 publications

(50 citation statements)

References 17 publications

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“…23,28 In addition, a survey of treatment patterns by United States otolaryngologists for CRS reported use of oral antibiotics (94%) in part of their maximal medical management, with a mean duration of treatment of 5 weeks. 29 Finally, our results suggest that vancomycin and trimethoprimsulfamethoxazole have remained reliable effective agents for treatment of the majority of sinonasal MRSA infections. Although mupirocin irrigation for effective treatment of MRSA sinusitis has been reported by others, 30 susceptibility testing to this topical agent is not currently available at our institution.…”

Section: Discussionmentioning

confidence: 92%

Trends in Incidence and Susceptibility among Methicillin-Resistant Staphylococcus aureus Isolated from Intranasal Cultures Associated with Rhinosinusitis

Rujanavej

Soudry

Banaei

et al. 2013

Am J Rhinol�Allergy

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Section: Discussionmentioning

confidence: 92%

Trends in Incidence and Susceptibility among Methicillin-Resistant Staphylococcus aureus Isolated from Intranasal Cultures Associated with Rhinosinusitis

Rujanavej

Soudry

Banaei

et al. 2013

Am J Rhinol�Allergy

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“…ENT physicians commonly prescribe prolonged courses of oral antibiotics as a significant component of the medical treatment of patients with CRS (Bhattacharyya, 2003;Fokkens et al, 2012;Kaszuba and Stewart, 2006). However, the efficacy of antibiotics is not strongly supported by high-level studies (Cain and Lal, 2013;Fokkens et al, 2012;Mandal, Patel, and Ferguson, 2012).…”

Section: Discussionmentioning

confidence: 98%

A randomized clinical trial comparing pulsed ultrasound and erythromycin phonophoresis in the treatment of patients with chronic rhinosinusitis

Ansari

Naghdi

Fathali

et al. 2014

Physiotherapy Theory and Practice

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Therapeutic ultrasound, an important physiotherapy modality, has been used successfully in the treatment of patients with chronic rhinosinusitis (CRS). No study has compared pulsed ultrasound (PUS) with erythromycin phonophoresis (EP). The aim of this randomized, double-blind, parallel group study with concealed allocation was to compare PUS with EP. Sixty CRS patients were randomly allocated into two groups. Group 1 had PUS and Group 2 had EP. Patients were treated 3 days a week for 10 sessions over 4 weeks. The severity of nine CRS symptoms was self-rated by patients on an ordinal scale of 0-3 (absent, mild, moderate or severe) at baseline and after the 10th treatment session. Individual symptom scores were summed to obtain a "Total Symptom Score" (TSS). The outcome measure included percentage improvement in the TSS. A statistically significant improvement in TSS occurred with both PUS and EP therapy groups (p < 0.05). The percentage improvement in the EP group was statistically greater than in the PUS group (67.2 versus 49.3%) (p = 0.03). The effect sizes in both therapy groups were large; PUS: d = 1.36 and EP: d = 2.15. EP was found to be superior over PUS therapy.

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“…Despite the high prevalence and economic impact of RARS, considerable practice variations exist across and within the multiple disciplines involved in managing the condition. 8 CT scan has been frequently used by the clinicians to make diagnosis, delineate disease extent and identify the involved sinonasal structures. 9 It further serves as a road map for the surgeons during endoscopic sinus and base of skull surgeries.…”

Section: Discussionmentioning

confidence: 99%

Radiological significance of isolated ethmoid sinus infections in asymptomatic patients of recurrent acute rhinosinusitis

et al. 2017

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Background: Recurrent acute rhinosinusitis (RARS) being a low form chronic rhinosinusitis (CRS), is relatively under diagnosed many times because of lack of awareness regarding pattern of the disease presentation. Aim of the study is to evaluate the radiological significance of isolated ethmoid sinusitis in patients of RARS during the asymptomatic interval in between acute episodes of rhinosinusitis.Methods: Total 124 patients with history suggestive of RARS who had undergone computed tomography study of brain during April 2015 to October 2016 for indications other than sinonasal diseases, were evaluated for isolated ethmoid sinusitis in the department of Radiology. Patients having any inflammatory or expansile sinonasal masses were excluded.Results: Of total 124 patients of RARS aged from 18 to 70 years (mean age of 38.6 years), the study population included only seventy-two (58%) patients having isolated ethmoid sinus infections, were classified in to mild unilateral group I (46%) cases with grade I or II sinus infections and relatively severe bilateral group II (54%) cases having grade III or IV infections. Infective process involving two to three ethmoid cells each on either side is the most common variety encountered in 39% cases. Prevalence of infective process was fairly equal among all age groups. Statistical correlation between the severity of RARS in patients having group II variety of isolated ethmoid sinus infections was found highly significant.Conclusions: Isolated ethmoid sinus infections are commonly encountered CT findings in adult RARS patients while they are asymptomatic from acute episodes of rhinosinusitis.

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Medical Management and Diagnosis of Chronic Rhinosinusitis: A Survey of Treatment Patterns by United States Otolaryngologists

Cited by 52 publications

References 17 publications

Trends in Incidence and Susceptibility among Methicillin-Resistant Staphylococcus aureus Isolated from Intranasal Cultures Associated with Rhinosinusitis

Trends in Incidence and Susceptibility among Methicillin-Resistant Staphylococcus aureus Isolated from Intranasal Cultures Associated with Rhinosinusitis

A randomized clinical trial comparing pulsed ultrasound and erythromycin phonophoresis in the treatment of patients with chronic rhinosinusitis

Radiological significance of isolated ethmoid sinus infections in asymptomatic patients of recurrent acute rhinosinusitis

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