Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • chronic rhinosinusitis
  • nasal obstruction
  • nasal discharge
  • facial pain/pressure
  • direct visualisation

Other diagnostic factors

  • reduced sense of smell
  • cough
  • sore throat
  • dysphonia
  • malaise
  • drowsiness

Risk factors

  • asthma
  • aspirin sensitivity
  • Churg-Strauss syndrome
  • allergic fungal sinusitis
  • genetic predisposition
  • cigarette smoking

Diagnostic investigations

1st investigations to order

  • anterior rhinoscopy
  • nasal endoscopy
Full details

Investigations to consider

  • CT head
  • biopsy
  • nasal smear and culture
  • FBC with differential
  • ANCA
  • ESR
  • skin-prick tests
  • serum total and specific IgE
  • nasal airway assessment
  • aspirin challenge
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Hesham A. Saleh

Consultant Rhinologist

Charing Cross Hospital

Honorary Senior Lecturer

Imperial College

London

UK

Disclosures

HAS declares that he has no competing interests.

Consultant ENT Surgeon

Imperial College NHS Trust

London

UK

Disclosures

RK declares that she has no competing interests.

Dr Hesham A. Saleh and Dr Romana Kuchai would like to gratefully acknowledge Dr Richard J.D. Hewitt, the previous contributor to this monograph.

Disclosures

RJDH declares that he has no competing interests.

Peer reviewers VIEW ALL

Associate Professor

Director of Rhinology and Endoscopic Sinus and Skull Base Surgery

Department of Otolaryngology and Head & Neck Surgery

Eastern Virginia Medical School

Norfolk

VA

Disclosures

JKH declares that he has no competing interests.

Consultant Surgeon

Department of Otolaryngology Head and Neck Surgery

Aberdeen Royal Infirmary

Aberdeen

UK

Disclosures

SM declares that she has no competing interests.

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