Nasal Endoscopy and the Definition and Diagnosis of Chronic Rhinosinusitis

Stankiewicz, James A.; Chow, James M.

doi:10.1067/mhn.2002.125602

Cited by 120 publications

(115 citation statements)

References 4 publications

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“…Published estimates of sensitivity and false-negative rates are 30% to 46% and 35% to 70%, respectively, when compared to CT. 657,675,[680][681][682] The lower sensitivity is related to the difficulty or inability of rigid and flexible endoscopy to assess the interior of all of the sinonasal cavities, especially in unoperated patients. r Benefit: Higher positive predictive value and specificity for a CRS diagnosis compared to using symptoms alone, allowing for the avoidance of CT utilization costs and potential radiation exposure of imaging.…”

Section: Viid2b Crs Diagnosis With Nasal Endoscopymentioning

confidence: 99%

“…676,[680][681][682] Although anterior rhinoscopy may reveal mucopurulent drainage or severe nasal polyposis, this examination technique may not consistently provide sufficient illumination and visualization of structures beyond the inferior turbinate. Nasal endoscopy provides a more thorough examination of sinus drainage pathways in the middle meatus, sphenoethmoidal recess, and nasopharynx.…”

Section: Viid2b Crs Diagnosis With Nasal Endoscopymentioning

confidence: 99%

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International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Orlandi

Kingdom

Hwang

et al. 2016

Int Forum Allergy Rhinol

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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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Section: Viid2b Crs Diagnosis With Nasal Endoscopymentioning

confidence: 99%

Section: Viid2b Crs Diagnosis With Nasal Endoscopymentioning

confidence: 99%

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Orlandi

Kingdom

Hwang

et al. 2016

Int Forum Allergy Rhinol

Self Cite

554

888

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“…Similar doubts on the value of symptom-based diagnosis of chronic rhinosinusitis have been raised by others. 22 We believe, that the good correlation of symptom and endoscopic scores in our study may be explained by homogenous population of patients, who suffered from a disease (COPD) with known high prevalence of rhinosinusitis, and not in the general non-predefined population, as it was in case of cited studies. …”

Section: Discussionmentioning

confidence: 82%

Rhinosinusitis in COPD: symptoms, mucosal changes, nasal lavage cells and eicosanoids

Piotrowska

Piotrowski²,

Kurmanowska³

et al. 2010

COPD

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Abstract:The coexistence of upper airways disease with chronic obstructive pulmonary disease (COPD) is not well documented. The aim of this research was to assess sino-nasal inflammation in COPD by various tools, and look for the impact on quality of life, relation to smoking, disease severity and systemic inflammation. Current and ex-smokers with COPD (n = 42) and healthy never-smokers (n = 21) were included in this study. COPD severity was assessed by GOLD criteria and BODE index. Markers of systemic inflammation were measured. Nasal symptoms and general quality of life were assessed using the questionnaires; sino-nasal questionnaire (SNAQ-11) and St. George's Respiratory Questionnaire (SGRQ). Nasal endoscopy and saccharine test were performed. Nasal lavages were collected for cytological examination and eicosanoids (cysteinyl leukotrienes, leukotriene B4, 8-isoprostane). Symptoms and endoscopic scores were higher in COPD (P  0.0001). Only SGRQ symptoms subscore correlated with SNAQ-11 (r = 0.34, P = 0.035). Mucociliary clearance was impaired only in current smokers (9.91 ± 0.49 versus 13.12 ± 0.68 minutes, P  0.001). 8-isoprostane was higher in COPD smokers compared to the controls (0.17 ± 0.04 versus 0.34 ± 0.09 pg/g protein, P  0.05). Endoscopic score and mucociliary of impairment patients who currently smoked cigarettes correlated with concentrations of 8-isoprostane. None of the parameters correlated with disease severity and markers of systemic inflammation. We provide evidence of upper airways disease in COPD, which appears to be related more to patients who currently smoke than to disease severity.

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“…8 From the literature, it appears that nasal endoscopy provides more important objective evidence of CRS and corroborates findings with polyps grades in the majority of patients. 6,9,10 In some cases, infections also found with harvesting of inflammatory mediators or eosinophils. 8 The radiographical diagnosis may not ne indicated in this study, thus it could probably be considered when the symptoms persist in spite of medical therapy or when a surgical intervention is needed.…”

Section: Resultsmentioning

confidence: 99%

Study of Diagnostic Nasal Endoscopy and Sinonasal Grading

S¹,

Cornellius²,

Vinayaga³

2016

IJMRP

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Introduction: Endoscopes have markedly improved visualization for sinus surgery, but expanding concepts of FESS have outplaced available operative instrumentation. The surgical techniques are continually improved, but the basic concepts of the newer instruments have changed very little. Methods:The main objective of this study is to study the diagnostic nasal endoscopy and sinonasal grading. A total of 60 cases who are diagnosed to have sinonasal polyposis were included in this study. By using 30 degree Hopkin's rod endoscope of 1 st , 2 nd and 3 rd pass were done. Middle meatus was examined in all patients and the polyps were graded according to the standard classification.

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Nasal Endoscopy and the Definition and Diagnosis of Chronic Rhinosinusitis

Abstract: According to this study, positive endoscopic results correlated well with CT, and negative endoscopic results correlated in 71% of patients with negative CT results.

Cited by 120 publications

References 4 publications

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Rhinosinusitis in COPD: symptoms, mucosal changes, nasal lavage cells and eicosanoids

Study of Diagnostic Nasal Endoscopy and Sinonasal Grading

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