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Interractive Video
Rhinosinusitis
Pathophysiology
Rhinosinusitis
Nomenclature
Classification
Subacute RS definition
specifies 4 to 8 weeks.
Recurrent RS as 3 or more
episodes per year
Comparison Table
Diagnosis of ARS
AVRS
ABRS
Special Assesment
Interractive Video
Baloon Sinuplasty
Comparasion Table
Recomended Treatment
of ARS
Interractive Video
Relapsing Rhinosinusitis
Operatif
Comparison Table
Diagnosis of CRS
Video Interaktif
Relapsing Rhinosinusitis
Operatif
CT scan
Structural abnormalities in the
sinuses, bony erosion, or
extrasinus involvement.
(JTFPP)
MRI
Excellent display of the
mucosa rather than of the bony
anatomy, may be particularly
useful in distinguishing bacterial
or viral inflammation from fungal
concretions (RI)
Special testing
AFRS
Special testing
AFRS
Management of CRS
EP3OS
EP OS
3
EP OS
3
EP OS
3
JTFPP
Antibiotics: role is controversial; may be useful for acute exacerbation of chronic disease
Intranasal corticosteroids: may be modestly beneficial as adjunctive therapy
Antihistamines: possible role in CRS if underlying risk factor is allergic rhinitis
Topical and oral decongestants: prospective studies evaluating use are lacking
Antifungal agents: role has not yet been established
CPG:AS
Take preventive measures to minimize symptoms and exacerbations of CRS: saline
nasal irrigation, good hand hygiene
to prevent acute viral RS
Assess the patient for factors that could modify management (eg, allergic rhinitis, cystic
fibrosis, immunocompromised state,
ciliary dyskinesia, anatomic variation)
There has been a push for clinical trials examining CRS with nasal
polyposis, CRS without nasal polyposis, and allergic fungal rhinosinusitis
as distinct entities; however, few such trials
have been conducted to date, and more data are needed to help
clinicians treat these conditions appropriately
The End