Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- symptoms <10 days (acute viral rhinosinusitis)
- symptoms >10 days but <4 weeks (acute bacterial rhinosinusitis)
- symptoms that worsen after an initial improvement (acute bacterial rhinosinusitis)
- purulent nasal discharge
- nasal obstruction
- facial pain/pressure
- severe symptoms at onset (acute bacterial rhinosinusitis)
- dental pain
Outros fatores diagnósticos
- cough
- sore throat
- hyposmia
- edematous turbinate
- fever
Fatores de risco
- viral upper respiratory tract infection
- allergic rhinitis
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- clinical diagnosis
Tests to avoid
- x-ray paranasal sinuses
Investigações a serem consideradas
- nasal endoscopy
- sinus culture
- CT sinuses
- MRI
- lateral neck x-ray
- allergy testing
Algoritmo de tratamento
suspected acute viral rhinosinusitis
suspected acute bacterial rhinosinusitis
suspected acute invasive fungal rhinosinusitis
recurrent episodes
Colaboradores
Autores
Gordon H. Sun, MD, MBA, MSc

Director of Specialty Care
High Desert Regional Health Center
Lancaster
CA
Clinical Associate Professor of Otolaryngology-Head and Neck Surgery
Charles R. Drew University of Medicine and Science
Los Angeles
CA
Declarações
GHS is a contractor for MAXIMUS, Inc.
Agradecimentos
Dr Gordon H. Sun would like to gratefully acknowledge Dr Melissa A. Pynnonen and Dr Joseph K. Han, previous contributors to this topic.
Declarações
MAP and JKH declare that they have no competing interests.
Revisores
Michael S. Benninger, MD
Professor of Otolaryngology Head and Neck Surgery
Cleveland Clinic
Lerner College of Medicine
Cleveland
OH
Declarações
MSB declares that he has no competing interests.
Daniel Merenstein, MD
Director of Research Family Medicine
Georgetown University
Washington, DC
Declarações
DM declares that he has no competing interests.
Amin R. Javer, MD, FRCSC, FARS
Clinical Professor
Division of Otolaryngology
University of British Columbia
Vancouver
Canada
Declarações
ARJ is a consultant for iView Therapeutics, GSK, and Sanofi.
Referências
Principais artigos
Rosenfeld RM, Piccirillo JF, Chandrasekhar SS, et al. Clinical practice guideline (update): adult sinusitis. Otolaryngol Head Neck Surg. 2015 Apr;152(2 Suppl):S1-39.Texto completo Resumo
Orlandi RR, Kingdom TT, Smith TL, et al. International consensus statement on allergy and rhinology: rhinosinusitis 2021. Int Forum Allergy Rhinol. 2021 Mar;11(3):213-739. Resumo
Peters AT, Spector S, Hsu J, et al. Diagnosis and management of rhinosinusitis: a practice parameter update. Ann Allergy Asthma Immunol. 2014 Oct;113(4):347-85.Texto completo
Fokkens WJ, Lund VJ, Hopkins C, et al. European position paper on rhinosinusitis and nasal polyps 2020. Rhinology. 2020 Feb 20;58(suppl s29):1-464.Texto completo Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Allergic rhinitis
- Nonallergic rhinitis
- Migraine
Mais Diagnósticos diferenciaisDiretrizes
- Guide to utilization of the microbiology laboratory for diagnosis of infectious diseases
- Diagnosis and management of sinusitis in adults and children: 2023 update
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Sinusitis
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