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Rinossinusite crônica sem pólipos nasais

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  • Descripción general
  • Teoría
  • Diagnóstico
  • Manejo
  • Seguimiento
  • Recursos
Última revisión: 18 Jan 2026
Última actualización: 04 Jun 2024

Resumen

Definición

Anamnesis y examen

Principales factores de diagnóstico

  • presença de fatores de risco
  • pressão/dor facial
  • obstrução nasal
  • secreção nasal/gotejamento pós-nasal
  • purulência
  • cefaleia
Todos los datos

Otros factores de diagnóstico

  • fadiga
  • tosse
  • hiposmia/anosmia
  • febre
  • halitose
  • dor de dente
  • dor de ouvido/pressão
Todos los datos

Factores de riesgo

  • disfunção ciliar
  • sensibilidade à aspirina
  • rinite alérgica
  • hiper-reatividade das vias aéreas/asma
  • cirurgia prévia dos seios paranasais
  • imunodeficiência
  • desvios graves do septo
  • deformidade da concha bolhosa
  • cornetos médios curvados paradoxalmente
  • corpos estranhos
  • anormalidades craniofaciais
  • tabagismo
  • poluição ambiental
  • sarcoidose
  • granulomatose com poliangiite
  • história de asma
Todos los datos

Pruebas diagnósticas

Primeras pruebas diagnósticas para solicitar

  • rinoscopia anterior
  • endoscopia nasal
Todos los datos

Pruebas diagnósticas que deben considerarse

  • tomografia computadorizada (TC) dos seios da face
  • ressonância nuclear magnética (RNM) dos seios nasais
  • culturas do seio nasal/sinusais
  • teste de alergia
Todos los datos

Algoritmo de tratamiento

Agudo

rinossinusite crônica

En curso

continuação de sintomas apesar da terapia medicamentosa

Colaboradores

Autores

Raj Sindwani, MD, FACS, FRCS

Section Head of Rhinology, Sinus, and Skull Base Surgery

Head and Neck Institute

Cleveland Clinic Foundation

Cleveland

OH

Divulgaciones

RS is an author of a number of references cited in this topic. RS is a consultant for Optinose, Stryker, and 3D Matrix.

Christopher Roxbury, MD

Associate Professor

Rhinology and Endoscopic Skull Base Surgery

Section of Otolaryngology - Head and Neck Surgery

Department of Surgery

University of Chicago Medicine & Biological Sciences

Chicago

IL

Divulgaciones

CR declares that he has no competing interests.

Agradecimientos

Dr R Sindwani and Dr C Roxbury would like to acknowledge Dr J Antisdel, a previous contributor to this topic.

Revisores por pares

Ryland P. Byrd, Jr, MD

Professor

James H. Quillen College of Medicine

East Tennessee State University

Johnson City

TN

Divulgaciones

RPB declares that he has no competing interests.

Thomas Sanford, MD

Assistant Professor of Otolaryngology - Head and Neck Surgery

St Louis University School of Medicine

St Louis

MO

Divulgaciones

TS declares that he has no competing interests.

Ozgur Yigit, MD

Chief

ENT Department

Istanbul Training and Research Hospital

Istanbul

Turkey

Divulgaciones

OY declares that he has no competing interests.

Christos Georgalas, MD, PhD, DLO, FRCS (ORL-HNS)

Assistant Professor/Consultant

Academic Medical Center

Amsterdam

The Netherlands

Раскрытие информации

CG declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Список литературы

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Основные статьи

Rosenfeld RM, Piccirillo JF, Chandrasekhar SS, et al. Clinical practice guideline (update): adult sinusitis. Otolaryngol Head Neck Surg. 2015;152(suppl 2):S1-S39.Полный текст  Аннотация

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. Аннотация

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. Аннотация

Статьи, указанные как источники

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