“By virtue of its timing and systematic approach, this manuscript has incorporated the most recent scientific studies and prior position papers, combining prior perspective with current literature,” said Abtin Tabaee, MD, associate professor of otolaryngology at Weill Cornell Medical College in New York City. “The authors have taken a comprehensive approach both in terms of the depth of the literature reviewed and the various diagnostic and treatment subtopics discussed, including the full spectrum of CRS diagnosis, medical therapy, surgical procedures, and postoperative care. By reviewing more of the relevant individual aspects of evaluation and treatment for CRS, the authors have expanded common critical aspects, such as antibiotics, to a more broad and encompassing conversation.”
Evidence-based pathology and guidelines are given for acute ARS, CRS both with and without nasal polyps (CRSwNP and CRSsNP), recurrent ARS (RARS), acute exacerbation of CRS (AECRS), and pediatric RS. The consensus statement also touches on medical and surgical management of ARS and CRS.
Richard R. Orlandi, MD, professor of otolaryngology–head and neck surgery at the University of Utah in Salt Lake City, was interested to find a lack of hard evidence on common clinical practices regarding RS. “There is a paucity of evidence, and what there is, is at a low quality level,” he said. “We have things we’re dogmatic about in practice but that we’ve found little to no evidence for in the clinical literature.”