ENTtoday
  • Home
  • Practice Focus
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Departments
    • Issue Archive
    • TRIO Best Practices
      • Allergy
      • Facial Plastic/Reconstructive
      • Head and Neck
      • Laryngology
      • Otology/Neurotology
      • Pediatric
      • Rhinology
      • Sleep Medicine
    • Career Development
    • Case of the Month
    • Everyday Ethics
    • Health Policy
    • Legal Matters
    • Letter From the Editor
    • Medical Education
    • Online Exclusives
    • Practice Management
    • Resident Focus
    • Special Reports
    • Tech Talk
    • Viewpoint
    • What’s Your O.R. Playlist?
  • Literature Reviews
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Multimedia
    • Video
    • Audio
  • Events
    • Featured Events
    • TRIO Meetings
  • Contact Us
    • About Us
    • Editorial Board
    • Triological Society
    • Advertising Staff
    • Subscribe
    • eNewsletters
  • Advertise
    • Place an Ad
    • Classifieds
    • Rate Card
  • Search

Change in Cardinal Symptoms of Chronic Rhinosinusitis Observed

by Brent Senior, MD • May 6, 2015

  • Tweet
  • Email
Print-Friendly Version

What is the change in cardinal symptoms of chronic rhinosinusitis (CRS) for those undergoing medical therapy versus surgery for management?

Background: CRS is an inflammatory disorder of the paranasal sinuses defined symptomatically as 12 weeks or more of two or more “cardinal symptoms,” including nasal obstruction, thick nasal discharge, facial pain/pressure, and reduction or loss of sense of smell. While numerous studies have described the impact of surgery on these symptoms, this study seeks to compare the impact of surgery with that of ongoing medical therapy alone.

You might also like:

  • Chronic Rhinosinusitis: Cardinal Symptoms Change in Surgery, Medical Therapy
  • Change in Cardinal Symptoms of Chronic Rhinosinusitis in Surgery vs. Medical Therapy
  • Report May Change Diagnosis, Management of Chronic Rhinosinusitis
  • What Is the Role of Nasal Endoscopy in the Diagnosis of Chronic Rhinosinusitis?
Explore this issue:
May 2015

Study design: Prospective cohort.

Setting: Academic tertiary facilities, including University of California, San Diego; Oregon Health and Science University in Portland; University of Utah in Salt Lake City; and the Medical University of South Carolina in Charleston.

Synopsis: Of a total of 342 patients enrolled, 69 (20.2%) elected medical therapy alone, while 273 (79.8%) elected surgery. Overall, those undergoing surgery experienced significantly better improvement in thick nasal discharge (odds ratio [OR] = 4.36), facial pain/pressure (OR = 3.56), and blockage/congestion (OR = 2.76). While no significant difference was seen with smell and taste abnormality between the groups (OR = 1.50, P = 0.306), those with polyps experienced a significantly greater likelihood of resolution of smell and taste abnormality following surgery (23.8% versus 4.0%, P = 0.026).

Bottom line: For patients with CRS, endoscopic sinus surgery results in significantly greater improvement in cardinal symptoms of CRS, including thick nasal discharge, facial pain/pressure, and nasal blockage/congestion when compared with ongoing medical therapy alone. For those with nasal polyps, significant improvement in smell and taste abnormality is also seen.

Reference: DeConde AS, Mace JC, Alt JA, et al. Investigation of change in cardinal symptoms of chronic rhinosinusitis after surgical or ongoing medical management. Int Forum Allergy Rhinol. 2015;5:36-45.

—Reviewed by Brent Senior, MD

Filed Under: Literature Reviews, Rhinology Tagged With: chronic rhinosinusitisIssue: May 2015

You might also like:

  • Chronic Rhinosinusitis: Cardinal Symptoms Change in Surgery, Medical Therapy
  • Change in Cardinal Symptoms of Chronic Rhinosinusitis in Surgery vs. Medical Therapy
  • Report May Change Diagnosis, Management of Chronic Rhinosinusitis
  • What Is the Role of Nasal Endoscopy in the Diagnosis of Chronic Rhinosinusitis?

The Triological SocietyENTtoday is a publication of The Triological Society.

The Laryngoscope
Ensure you have all the latest research at your fingertips; Subscribe to The Laryngoscope today!

Laryngoscope Investigative Otolaryngology
Open access journal in otolaryngology – head and neck surgery is currently accepting submissions.

Classifieds

View the classified ads »

TRIO Best Practices

View the TRIO Best Practices »

Top Articles for Residents

  • How Writing Helps a Medical Resident Better Care for Patients
  • How Physicians Can Build a Network to Boost Their Career
  • How To Survive the First Year of Medical Residency
  • ACGME Revises Cap on Resident Work Hours
  • Ethical Implications of Burnout in Otolaryngology Residents
  • Popular this Week
  • Most Popular
  • Most Recent
    • Vertigo in the Elderly: What Does It Mean?
    • New Developments in the Management of Eustachian Tube Dysfunction
    • Counseling Patients on Safe Nasal Irrigation
    • Is There a Crisis in the Otolaryngology Match?
    • Weaning Patients Off of PPIs
    • New Developments in the Management of Eustachian Tube Dysfunction
    • Vertigo in the Elderly: What Does It Mean?
    • Eustachian Tuboplasty: A Potential New Option for Chronic Tube Dysfunction and Patulous Disease
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Short-and Long-Term Data Suggest Efficacy of Turbinate Ablation
    • Counseling Patients on Safe Nasal Irrigation
    • Artificial Intelligence and Machine Learning in Otolaryngology
    • Letter from the Editor: Peer Reviewing Sensational Headlines
    • Is Topical Epinephrine Safe for Hemostasis in Endoscopic Sinus Surgery?
    • Is it Safe to Kiss in Era of HPV Head and Neck Cancer ‘Epidemic’?

Polls

Is artificial intelligence an advantage for medicine?

View Results

Loading ... Loading ...
  • Polls Archive
  • Home
  • Contact Us
  • Advertise
  • Privacy Policy

Visit: The Triological Society • The Laryngoscope • Triological Meeting Posters

Wiley
© 2019 The Triological Society. All Rights Reserved.
ISSN 1559-4939

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.
This site uses cookies: Find out more.