Summary
Definition
History and exam
Key diagnostic factors
- sintomas <10 dias (rinossinusite viral aguda)
- sintomas >10 dias, mas <4 semanas (rinossinusite bacteriana aguda)
- sintomas que se agravam após uma melhora inicial (rinossinusite bacteriana aguda)
- secreção nasal purulenta
- obstrução nasal
- pressão/dor facial
- sintomas graves no início (rinossinusite bacteriana aguda)
- dor de dente
Other diagnostic factors
- tosse
- faringite
- hiposmia
- corneto edematoso
- febre
Risk factors
- infecção viral do trato respiratório superior
- rinite alérgica
Diagnostic tests
1st tests to order
- diagnóstico clínico
Tests to consider
- endoscopia nasal
- cultura do seio nasal
- TC dos seios nasais
- RNM
- radiografia lateral do pescoço
- teste de alergia
Treatment algorithm
suspeita de rinossinusite viral aguda
suspeita de rinossinusite bacteriana aguda
suspeita de rinossinusite fúngica invasiva aguda
episódios recorrentes
Contributors
Authors
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
Disclosures
GHS is a contractor for MAXIMUS, Inc.
Acknowledgements
Dr Gordon H. Sun would like to gratefully acknowledge Dr Melissa A. Pynnonen and Dr Joseph K. Han, previous contributors to this topic.
Disclosures
MAP and JKH declare that they have no competing interests.
Peer reviewers
Michael S. Benninger, MD
Professor of Otolaryngology Head and Neck Surgery
Cleveland Clinic
Lerner College of Medicine
Cleveland
OH
Disclosures
MSB declares that he has no competing interests.
Daniel Merenstein, MD
Director of Research Family Medicine
Georgetown University
Washington, DC
Disclosures
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
Disclosures
ARJ is a consultant for iView Therapeutics, GSK, and Sanofi.
References
Key articles
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.Full text Abstract
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. Abstract
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.Full text
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.Full text Abstract
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Differentials
- Rinite alérgica
- Rinite não alérgica
- Enxaqueca
More DifferentialsGuidelines
- Guide to utilization of the microbiology laboratory for diagnosis of infectious diseases
- Diagnosis and management of sinusitis in adults and children: 2023 update
More GuidelinesPatient information
Sinusite (aguda)
More Patient information
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