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An update on the classifications, diagnosis, and treatment of rhinosinusitis.

Abstract

PURPOSE OF REVIEW

This review is timely and relevant because rhinosinusitis is a disease process that is heterogeneous in its clinical and pathologic manifestations. Therefore, no one causative factor has been identified that fully accounts for all rhinosinusitis. The purpose of this review is to provide a succinct update of rhinosinusitis classification, pathophysiology, and management given the new movement toward evidence-based guidelines.

RECENT FINDINGS

The term rhinosinusitis reflects the concurrent inflammatory and infectious processes that affect the nasal passages and the contiguous paranasal sinuses. The most recent classification scheme is intended primarily to guide clinical research and divides rhinosinusitis into four categories: acute bacterial rhinosinusitis, chronic sinusitis with nasal polyposis, chronic rhinosinusitis with nasal polyposis, and allergic fungal rhinosinusitis. The goals of treatment include reduction of mucosal edema, reestablishment of sinus ventilation, and eradication of infecting pathogens. Multiple therapies are available for the management of chronic rhinosinusitis, including antibiotics, hypertonic and isotonic saline irrigations or sprays, topical and systemic glucocorticords, antileukotriene agents, and endoscopic sinus surgery.

SUMMARY

Rhinosinusitis is a common medical problem that interferes with patient quality of life and loss of work productivity. Because of the heterogeneity that underlies its pathology, no one treatment regimen exists for the management of rhinosinusitis.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada. y.chan@utoronto.ca

    Source

    MeSH

    Acute Disease
    Bacterial Infections
    Chronic Disease
    Diagnosis, Differential
    Eosinophilia
    Evidence-Based Medicine
    Humans
    Mycoses
    Nasal Mucosa
    Nasal Polyps
    Recurrence
    Rhinitis
    Rhinitis, Allergic, Perennial
    Sinusitis
    Virus Diseases

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    19346944

    Citation

    Chan, Yvonne, and Frederick A. Kuhn. "An Update On the Classifications, Diagnosis, and Treatment of Rhinosinusitis." Current Opinion in Otolaryngology & Head and Neck Surgery, vol. 17, no. 3, 2009, pp. 204-8.
    Chan Y, Kuhn FA. An update on the classifications, diagnosis, and treatment of rhinosinusitis. Curr Opin Otolaryngol Head Neck Surg. 2009;17(3):204-8.
    Chan, Y., & Kuhn, F. A. (2009). An update on the classifications, diagnosis, and treatment of rhinosinusitis. Current Opinion in Otolaryngology & Head and Neck Surgery, 17(3), pp. 204-8. doi:10.1097/MOO.0b013e32832ac393.
    Chan Y, Kuhn FA. An Update On the Classifications, Diagnosis, and Treatment of Rhinosinusitis. Curr Opin Otolaryngol Head Neck Surg. 2009;17(3):204-8. PubMed PMID: 19346944.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - An update on the classifications, diagnosis, and treatment of rhinosinusitis. AU - Chan,Yvonne, AU - Kuhn,Frederick A, PY - 2009/4/7/entrez PY - 2009/4/7/pubmed PY - 2009/8/4/medline SP - 204 EP - 8 JF - Current opinion in otolaryngology & head and neck surgery JO - Curr Opin Otolaryngol Head Neck Surg VL - 17 IS - 3 N2 - PURPOSE OF REVIEW: This review is timely and relevant because rhinosinusitis is a disease process that is heterogeneous in its clinical and pathologic manifestations. Therefore, no one causative factor has been identified that fully accounts for all rhinosinusitis. The purpose of this review is to provide a succinct update of rhinosinusitis classification, pathophysiology, and management given the new movement toward evidence-based guidelines. RECENT FINDINGS: The term rhinosinusitis reflects the concurrent inflammatory and infectious processes that affect the nasal passages and the contiguous paranasal sinuses. The most recent classification scheme is intended primarily to guide clinical research and divides rhinosinusitis into four categories: acute bacterial rhinosinusitis, chronic sinusitis with nasal polyposis, chronic rhinosinusitis with nasal polyposis, and allergic fungal rhinosinusitis. The goals of treatment include reduction of mucosal edema, reestablishment of sinus ventilation, and eradication of infecting pathogens. Multiple therapies are available for the management of chronic rhinosinusitis, including antibiotics, hypertonic and isotonic saline irrigations or sprays, topical and systemic glucocorticords, antileukotriene agents, and endoscopic sinus surgery. SUMMARY: Rhinosinusitis is a common medical problem that interferes with patient quality of life and loss of work productivity. Because of the heterogeneity that underlies its pathology, no one treatment regimen exists for the management of rhinosinusitis. SN - 1531-6998 UR - https://www.unboundmedicine.com/medline/citation/19346944/An_update_on_the_classifications_diagnosis_and_treatment_of_rhinosinusitis_ L2 - http://Insights.ovid.com/pubmed?pmid=19346944 DB - PRIME DP - Unbound Medicine ER -