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Chronic recurrent rhinosinusitis: disease severity and clinical characterization
Neil Bhattacharyya1, Kun Hee Lee
1Division of Otolaryngology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA. neiloy@massmed.org
The Laryngoscope
|February 4, 2005
Summary
Chronic recurrent rhinosinusitis (CRRS) is a distinct condition with significant systemic symptoms, leading to increased antibiotic use and missed workdays. This diagnosis impacts patients
Area of Science:
- Otolaryngology
- Immunology
Background:
- Chronic rhinosinusitis (CRS) encompasses various subtypes, including chronic recurrent rhinosinusitis (CRRS).
- Understanding the distinct clinical characteristics and disease severity parameters of CRRS is crucial for effective patient management.
Purpose of the Study:
- To clinically characterize chronic recurrent rhinosinusitis (CRRS).
- To determine disease severity parameters for CRRS.
- To compare CRRS with chronic persistent rhinosinusitis.
Main Methods:
- Prospective evaluation of adult patients diagnosed with CRRS.
- Utilized Rhinosinusitis Symptom Inventory for symptom severity and Lund staging from CT scans for disease data.
- Compared CRRS patients with a control group and a chronic persistent rhinosinusitis group.
Main Results:
- 30 patients met CRRS criteria; mean age 40.9 years, 3:1 female preponderance.
- CRRS patients showed similar Lund scores to controls but significantly increased oropharyngeal and systemic symptom scores.
- CRRS patients required more antibiotic courses and reported more missed workdays compared to chronic persistent rhinosinusitis patients.
Conclusions:
- Chronic recurrent rhinosinusitis is a distinct subtype of chronic rhinosinusitis.
- CRRS is associated with significant symptom burden, medication use, and workplace impact.
- Further research into CRRS pathophysiology and treatment is warranted.