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Algorithms for management of chronic rhinosinusitis
Mohammed M Nagi1, Martin Y Desrosiers
1Department of Otolaryngology-Head and Neck Surgery, McGill University, 6th Floor, McIntyre Medical Sciences Building, 3655 Promenade Sir William Osler, Montréal, QC H3G 1Y6, Canada.
Otolaryngologic Clinics of North America
|December 6, 2005
Summary
This article offers practical strategies for diagnosing and managing chronic rhinosinusitis (CRS), including cases with nasal polyps. It also covers treatment for persistent or recurring CRS after endoscopic sinus surgery.
Area of Science:
- Otolaryngology
- Allergy and Immunology
Background:
- Chronic rhinosinusitis (CRS) presents significant clinical challenges.
- Effective management requires a systematic approach.
Purpose of the Study:
- To outline diagnostic and management strategies for CRS.
- To address CRS with and without nasal polyposis.
- To guide the assessment and management of post-surgical persistent or recurrent CRS.
Main Methods:
- Review of current diagnostic criteria for CRS.
- Discussion of medical and surgical management options.
- Strategies for evaluating treatment failures after endoscopic sinus surgery.
Main Results:
- Provides a framework for accurate CRS diagnosis.
- Details management pathways for diverse CRS phenotypes.
- Offers solutions for refractory CRS cases.
Conclusions:
- A structured approach improves CRS patient outcomes.
- Timely diagnosis and tailored management are crucial.
- Addressing post-surgical disease is essential for long-term control.