Simplified Method of Staging Hyperplastic Rhinosinusitis

Comparison of Sinus Computed Tomography Staging Systems

“…In a retrospective review of surgical patients, Friedman et al 22 found a linear relationship between CT stage based on system B and recurrent disease; however, stage was not compared with the need for revision surgery, and most patients did not have postoperative CT scans. Eichel 3 used a modification of system B that included the presence or absence of nasal polyps to stage hyperplastic rhinosinusitis. He found that 82% of patients' diseases fell into stage 3.…”

“…Recent reports of treatment outcome for sinus disease have used staging systems devised by the authors that are largely untested for statistical reproducibility and reliability. Whereas some systems consider aspects of patient history to assign stage, such as the presence of asthma or allergic disease, 1,2 others incorporate physical findings, such as the presence of nasal polyps or a septal deviation 3–5 . A feature common to all recent sinusitis staging systems, however, is the assessment of CT findings.…”

Follow-up results of 415 patients after endoscopic sinus surgery

“…Most widely accepted staging systems have been suggested by Eichel [10], Freidman and Katsantonis [12], Gaskins [13], Gliklich and Metson [14], Kennedy [18], Lund and Mackay [23] and others [15,16,21,22,29,33]. These systems are mainly based on CT findings.…”