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Otolaryngol Head Neck Surg. 2015 Apr;152(4):598-609. doi: 10.1177/0194599815574247.

Clinical practice guideline (update): Adult Sinusitis Executive Summary.

Author information

1
Department of Otolaryngology, SUNY Downstate Medical Center, Brooklyn, New York, USA richrosenfeld@msn.com.
2
Department of Otolaryngology-Head and Neck Surgery, Washington University in St Louis, School of Medicine, St Louis, Missouri, USA.
3
New York Otology, New York Head and Neck Institute, New York, New York, USA.
4
Department of Pediatrics, Georgetown University, Washington, DC, USA.
5
Department of Family Medicine, University of Texas Health Sciences Center at San Antonio, San Antonio, Texas, USA.
6
Department of Otolaryngology, Washington University in St Louis School of Medicine, St Louis, Missouri, USA.
7
Division of Otolaryngology, University of Utah School of Medicine, Salt Lake City, Utah, USA.
8
Department Otolaryngology, University of Pennsylvania Hospital, Philadelphia, Pennsylvania, USA.
9
Department of Otolaryngology Head & Neck Surgery, Emory University, Atlanta, Georgia, USA.
10
Department of Internal Medicine, Northwestern University Allergy Division, Chicago, Illinois, USA.
11
Consumers United for Evidence-Based Healthcare, Davis, California, USA.
12
AAO-HNS, Alexandria, Virginia, USA.

Abstract

The American Academy of Otolaryngology-Head and Neck Surgery Foundation has published a supplement to this issue featuring the updated "Clinical Practice Guideline: Adult Sinusitis" as a supplement to Otolaryngology-Head and Neck Surgery. To assist in implementing the guideline recommendations, this article summarizes the rationale, purpose, and key action statements. The 14 developed recommendations address diagnostic accuracy for adult rhinosinusitis, the appropriate use of ancillary tests to confirm diagnosis and guide management (including radiography, nasal endoscopy, computed tomography, and testing for allergy and immune function), and the judicious use of systemic and topical therapy. Emphasis was also placed on identifying multiple chronic conditions that would modify management of rhinosinusitis, including asthma, cystic fibrosis, immunocompromised state, and ciliary dyskinesia. An updated guideline is needed as a result of new clinical trials, new systematic reviews, and the lack of consumer participation in the initial guideline development group.

KEYWORDS:

rhinosinusitis; sinusitis

PMID:
25833927
DOI:
10.1177/0194599815574247
[Indexed for MEDLINE]

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