Rhinosinusitis

4.9.1 Define and classify acute and chronic rhinosinusitis.

Lanza DC, Kennedy DW. Adult rhinosinusitis defined. Otolaryngol Head Neck Surg. 1997 Sep;117(3 Pt 2):S1-Review. PMID:9334782

Benninger, MS et al. Adult chronic rhinosinusitis: definitions, diagnosis, epidemiology, and pathophysiology. Otolaryngol Head Neck Surg. 2003 Sep;129(3 Suppl):S1-32. PMID:12958561

4.9.2 Describe the microbiology of acute bacterial rhinosinusitis and resistance patterns.

Anon JB, Jacobs MR, Poole MD, Ambrose PG, Benninger MS, Hadley JA, Craig WA; Sinus And Allergy Health Partnership. Antimicrobial treatment guidelines for acute bacterial rhinosinusitis. Otolaryngol Head Neck Surg. 2004 Jan;130(1 Suppl):1-45. Review PMID:14726904

Bhattacharyya N, Kepnes LJ. Assessment of trends in antimicrobial resistance in chronic rhinosinusitis. Ann Otol Rhinol Laryngol. 2008 Jun;117(6):448-52. PMID:18646442

4.9.3 Discuss antimicrobial treatment guidelines for acute bacterial rhinosinusitis.

Rosenfeld RM et al. Clinical practice guideline: adult sinusitis. Otolaryngol Head Neck Surg. 2007 Sep;137(3 Suppl):S1-31. PMID:17761281

4.9.4 How do the organisms in chronic rhinosinusitis differ from those in the acute setting?

Bhattacharyya N, Kepnes LJ. Assessment of trends in antimicrobial resistance in chronic rhinosinusitis. Ann Otol Rhinol Laryngol. 2008 Jun;117(6):448-52. PMID:18646442

4.9.5 Discuss the medical therapy of chronic rhinosinusitis. Does your rhinologist have an algorithm?

4.9.6 When is surgical intervention indicated for the treatment of chronic rhinosinusitis?

4.9.7 What is the significance of eosinophilia in chronic rhinosinusitis.

Zadeh MH, Banthia V, Anand VK, Huang C. Significance of eosinophilia in chronic rhinosinusitis. Am J Rhinol. 2002 Nov-Dec;16(6):313-7. PMID:12512905

4.9.8 What is Churg-Strauss syndrome?

4.9.9 List the potential complications of sinusitis. What is the Chandler classification?

4.9.10 What are the predisposing factors for rhinosinusitis?

4.9.11 Describe the role of topical antibiotic therapy in rhinosinusitis patients that have failed surgical therapy.

Lim M, Citardi MJ, Leong JL. Topical antimicrobials in the management of chronic rhinosinusitis: a systematic review. Am J Rhinol. 2008 Jul-Aug;22(4):381-Review. PMID:18702902