Rhinosinusitis affects many pediatric patients as well as 1 in 6 adults in any given year, resulting in ambulatory care, pediatric, and emergency department visits. Uncomplicated rhinosinusitis requires no imaging or testing and does not require antibiotic treatment. Using strict clinical diagnostic criteria may minimize unnecessary antibiotics. When indicated, amoxicillin with or without clavulanate for 5 to 10 days remains the first-line antibiotic, despite increasing incidence of staphylococcal sinusitis in the post-pneumococcal conjugate vaccine era. Emergency providers also need to recognize atypical cases in which uncommon but serious complications of sinusitis cause both morbidity and mortality.
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Updates in the management of chronic rhinosinusitis.
Aust J Gen Pract
December 2024
FRACS, ENT Surgeon, Otolaryngology and Head and Neck Surgery, Austin Hospital, Melbourne, Vic.
Background: Chronic rhinosinusitis (CRS) is a very common reason for presentation to a general practitioner. It can be very difficult to manage and can have a significant effect on the quality of life of patients.
Objective: The objective of this article is to provide an up-to-date review of the pathophysiology, diagnosis and multimodal approach to management of this chronic condition.
Surgeon versus radiologist: an inter-rater reliability analysis of the CLOSE checklist for preoperative CT sinus assessment.
Eur Arch Otorhinolaryngol
November 2024
Department of Otolaryngology-Head and Neck Surgery, McGill University, Royal Victoria Hospital, Montreal, QC, Canada.
Purpose: To assess the inter-rater agreement of the Cribriform plate, Lamina papyracea, Onodi cell, Sphenoid sinus pneumatization, and Ethmoidal artery (CLOSE) checklist results among rhinology & skull-base surgeons and a head and neck-neuroradiology specialist for pre-operative computed tomography (CT) sinus assessment.
Methods: This retrospective cross-sectional study reviewed 50 patients who underwent endoscopic sinus surgery (ESS) in the period between January 2013 and March 2014 at the Royal Victoria Hospital in Montreal, Canada. According to the CLOSE checklist, the CT scans were evaluated independently by one surgeon and one radiologist using the InteleRadiology Picture Archiving and Communication System (IntelePACS).
Current Review of Comorbidities in Chronic Rhinosinusitis.
Curr Allergy Asthma Rep
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Otolaryngology-HNS, Emory University, Atlanta, Georgia, USA.
Article Synopsis
- Chronic rhinosinusitis (CRS) significantly affects quality of life and is linked to various systemic inflammatory conditions, prompting a review of its comorbidities to guide future treatments.
- Research highlights the connections between CRS and other health issues, such as asthma, COPD, and obesity, which may worsen CRS symptoms and complicate treatment options.
- The review emphasizes the importance of considering comorbidities in managing CRS, as they may exacerbate inflammation, treatment resistance, and highlight avenues for new therapeutic approaches.
Prognostic implications across histological subtypes of head and neck squamous cell carcinoma: An update.
J Stomatol Oral Maxillofac Surg
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Department of Pathology, School of Medical Sciences, University of Campinas (UNICAMP), Campinas, São Paulo, Brazil. Electronic address:
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- * This review examines existing research on the prognostic implications of HNSCC’s histopathologic subtypes, noting a lack of studies focusing specifically on treatment outcomes for each subtype.
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Uncommon Fibroinflammatory Sinonasal Tract Lesions: Granulomatosis with Polyangiitis, Eosinophilic Angiocentric Fibrosis, and Rosai-Dorfman Disease.
Surg Pathol Clin
December 2024
Head and Neck Pathology Consultations, 22543 Ventura Boulevard, Suite 220 PMB1034, Woodland Hills, CA 91364, USA. Electronic address:
Fibroinflammatory lesions of the sinonasal tract include inflammatory polyps (chronic rhinosinusitis), various infectious, sarcoidosis, and NK/T-cell lymphoma as examples of the most commonly encountered lesions. However, the differential diagnosis includes several less frequently encountered entities, such as granulomatosis with polyangiitis, eosinophilic granulomatosis with polyangiitis (Churg-Strauss), eosinophilic angiocentric fibrosis considered part of IgG-related disease, and Rosai-Dorfman disease. This review focuses on these latter entities providing an update on clinical, laboratory, imaging, histology, and ancillary testing employed to reach an actionable diagnosis.
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