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Clinical Assessment and Management of Acute Rhinosinusitis

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Contemporary Rhinology: Science and Practice

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Abstract

In this chapter, acute rhinosinusitis (ARS) and its subdivisions of viral ARS, post-viral ARS and acute bacterial rhinosinusitis (ABRS) are defined. The epidemiology and different theories of aetiology are presented. Clinical assessment is discussed, highlighting features in the clinical presentation that distinguish the mild, self-limiting viral ARS from ABRS that requires active treatment. Primary care, specialist medical and surgical treatment are also discussed.

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References

  1. Fokkens WJ, Lund VJ, Hopkins C, Hellings PW, Kern R, Reitsma S, Toppila-Salmi S, Bernal-Sprekelsen M, Mullol J, Alobid I, Anselmo-Lima WT. European Position Paper on Rhinosinusitis and Nasal Polyps 2020. Rhinology. 2020;58(Supplement 29):1–464.

    PubMed  Google Scholar 

  2. Rosenfeld RM, Piccirillo JF, Chandrasekhar SS, Brook I, Ashok Kumar K, Kramper M, Orlandi RR, Palmer JN, Patel ZM, Peters A, Walsh SA. Clinical practice guideline (update): adult sinusitis. Otolaryngology Head Neck Surg. 2015;152(2_suppl):S1–39.

    Google Scholar 

  3. Gluck O, Marom T, Shemesh S, Tamir SO. Adult acute rhinosinusitis guidelines worldwide: similarities and disparities. Int Forum Allergy Rhinol. 2018;8(8):939–47.

    Article  Google Scholar 

  4. Lindbæk M, Hjortdahl P, Holth V. Acute sinusitis in adults in Norwegian general practice: incidence, complications, referral to ear-nose-throat specialist and economic costs. Eur J General Pract. 1997;3(1):7–11.

    Article  Google Scholar 

  5. Van Duijn NP, Brouwer HJ, Lamberts H. Use of symptoms and signs to diagnose maxillary sinusitis in general practice: comparison with ultrasonography. Br Med J. 1992;305(6855):684–7.

    Article  Google Scholar 

  6. Lindbaek M. Acute sinusitis. Drugs. 2004;64(8):805–19.

    Article  CAS  PubMed  Google Scholar 

  7. Sami AS, Scadding GK, Howarth P. A UK community-based survey on the prevalence of rhinosinusitis. Clin Otolaryngol. 2018;43(1):76–89.

    Article  CAS  PubMed  Google Scholar 

  8. Hoffmans R, Hastan D, van Drunen K, Fokkens W. Acute and chronic rhinosinusitis and allergic rhinitis in relation to environment, comorbidity and ethnicity. Clin Transl Allergy. 2015;5(S4):P26.

    Article  PubMed Central  Google Scholar 

  9. Bhattacharyya N, Grebner J, Martinson NG. Recurrent acute rhinosinusitis: epidemiology and health care cost burden. Otolaryngol Head Neck Surg. 2012;146(2):307–12.

    Article  PubMed  Google Scholar 

  10. https://www.cdc.gov/nchs/fastats/sinuses.htm. Summary health statistics: National Health Interview Survey; 2018.

  11. Aring AM, Chan MM. Current concepts in adult acute rhinosinusitis. Am Fam Physician. 2016;94(2):97–105.

    PubMed  Google Scholar 

  12. Loughlin J, Poulios N, Napalkov P, Wegmüller Y, Monto AS. A study of influenza and influenza-related complications among children in a large US health insurance plan database. Pharmacoeconomics. 2003;21(4):273–83.

    Article  PubMed  Google Scholar 

  13. Koskinen OM, Husman TM, Meklin TM, Nevalainen AI. The relationship between moisture or mould observations in houses and the state of health of their occupants. Eur Respir J. 1999;14(6):1363–7.

    Article  CAS  PubMed  Google Scholar 

  14. Ebell MH, McKay B, Dale A, Guilbault R, Ermias Y. Accuracy of signs and symptoms for the diagnosis of acute rhinosinusitis and acute bacterial rhinosinusitis. Ann Fam Med. 2019;17(2):164–72.

    Article  PubMed  PubMed Central  Google Scholar 

  15. National Institute for Health and Care Excellence. Sepsis: recognition, diagnosis and early management (NICE guideline 51); 2016. www.nice.org.uk/guidance/ng51.

  16. Saluja H, Rudagi BM, Sachdeva S, Shah S, Dadhich A, Tandon P, et al. Paranasal aspergillus fungal infection in immune compromised and uncontrolled diabetic patients: a report of 5 cases along with review of literature. Clin Surg. 2017;2:1805.

    Google Scholar 

  17. Hansen JG, Lund E. The association between paranasal computerized tomography scans and symptoms and signs in a general practice population with acute maxillary sinusitis. Apmis. 2011;119(1):44–8.

    Article  PubMed  Google Scholar 

  18. Hansen JG, Schmidt H, Rosborg J, Lund E. Predicting acute maxillary sinusitis in a general practice population. BMJ. 1995;311(6999):233–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Tennant F. Erythrocyte sedimentation rate and C-reactive protein: old but useful biomarkers for pain treatment. Pract Pain Manag. 2014;13(2).

    Google Scholar 

  20. Kirsch CF, Bykowski J, Aulino JM, Berger KL, Choudhri AF, Conley DB, Luttrull MD, Nunez D Jr, Shah LM, Sharma A, Shetty VS. ACR appropriateness criteria® Sinonasal disease. J Am Coll Radiol. 2017;14(11):S550–9.

    Article  PubMed  Google Scholar 

  21. Jones NS. CT of the paranasal sinuses: a review of the correlation with clinical, surgical and histopathological findings. Clin Otolaryngol Allied Sci. 2002;27(1):11–7.

    Article  CAS  PubMed  Google Scholar 

  22. Keith PK, Dymek A, Pfaar O, Fokkens W, Kirby SY, Wu W, Garris C, Topors N, Lee LA. Fluticasone furoate nasal spray reduces symptoms of uncomplicated acute rhinosinusitis: a randomised placebo-controlled study. Primary Care Respir J. 2012;21.

    Google Scholar 

  23. Lemiengre MB, van Driel ML, Merenstein D, Liira H, Mäkelä M, De Sutter AI. Antibiotics for acute rhinosinusitis in adults. Cochrane Database Syst Rev. 2018;9.

    Google Scholar 

  24. Hansen JG, Schmidt H, Grinsted P. Randomised, double blind, placebo controlled trial of penicillin V in the treatment of acute maxillary sinusitis in adults in general practice. Scand J Primary Health Care. 2000;18(1):44–7.

    Article  CAS  Google Scholar 

  25. Wald ER, Nash D, Eickhoff J. Effectiveness of amoxicillin/clavulanate potassium in the treatment of acute bacterial sinusitis in children. Pediatrics. 2009;124(1):9–15.

    Article  PubMed  Google Scholar 

  26. Lin J, Kacker A. Management strategies for recurrent acute rhinosinusitis. Laryngoscope Investig Otolaryngol. 2019;4(4):379–82.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Kamani T, Jones NS. 12 minute consultation: evidence based management of a patient with facial pain. Clin Otolaryngol. 2012;37(3):207–12.

    Article  CAS  PubMed  Google Scholar 

  28. Leong SC, Lazarova L, Tsang HK, Banhegyi G. Treatment outcomes of midfacial segment pain: experience from the Liverpool multi-disciplinary team facial pain clinic. Rhinology. 2015;53(1):35–40.

    Article  PubMed  Google Scholar 

  29. Pagella F, De Bernardi F, Dalla Gasperina D, Pusateri A, Matti E, Avato I, Cavanna C, Zappasodi P, Bignami M, Bernardini E, Grossi PA. Invasive fungal rhinosinusitis in adult patients: our experience in diagnosis and management. J Cranio-Maxillof. 2016, https://doi.org/10.1016/j.jcms.2015.12.016.

  30. Nam SH, Chung YS, Choi YJ, Lee JH, Kim JH. Treatment outcomes in acute invasive fungal rhinosinusitis extending to the extrasinonasal area. Scientific Reports. 2020;10(1):1–6.

    Article  Google Scholar 

  31. Cingi C, Muluk NB, Lee JT. Current indications for balloon sinuplasty. Curr Opin Otolaryngol Head Neck Surg. 2019;27(1):7–13.

    Article  PubMed  Google Scholar 

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  • Blomgren K, Eliander L, Hytönen M, Ylinen S, Laitio M, Virkkula P. How patients experience antral irrigation. Clin Med Insights Ear Nose Throat. 2015;8:CMENT-S24419.

    Article  Google Scholar 

  • Toran KC. Is antral wash out really indicated in acute bacterial rhino sinusitis? Nepalese J ENT Head Neck Surg. 2010;1(1):12–3.

    Google Scholar 

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Authors and Affiliations

  1. Hull University Teaching Hospitals NHS Trust, Castle Hill Hospital, Cottingham, East Yorkshire, UK

    Stephen R. Ell & Richard Wei Chern Gan

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  1. Stephen R. Ell
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  2. Richard Wei Chern Gan
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Correspondence to Stephen R. Ell .

Editor information

Editors and Affiliations

  1. Liverpool Head and Neck Centre, Liverpool University Hospitals, Foundation Trust, Liverpool, UK

    Andrew C. Swift

  2. Otolaryngology, Freeman Hospital, Newcastle upon Tyne, Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK

    Sean Carrie

  3. Department of Otolaryngology, Tata Memorial Hospital, Mumbai, Maharashtra, India

    Christopher de Souza

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Ell, S.R., Gan, R.W.C. (2023). Clinical Assessment and Management of Acute Rhinosinusitis. In: Swift, A.C., Carrie, S., de Souza, C. (eds) Contemporary Rhinology: Science and Practice. Springer, Cham. https://doi.org/10.1007/978-3-031-28690-2_23

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  • DOI: https://doi.org/10.1007/978-3-031-28690-2_23

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-28689-6

  • Online ISBN: 978-3-031-28690-2

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