Alabama Nasal & Sinus Center

Alabama Nasal & Sinus Center

Sinusitis Guidelines 2

Hello, world!  Did you miss me?  Ready to talk Sinusitis again?  Remember our last post was about definitions.  Well, let's continue that theme.  

Viral rhinosinusitis: Acute rhinosinusitis that is caused by, or is presumed to be caused by, viral infection. A clinician should diagnose viral rhinosinusitis when;
• symptoms or signs of acute rhinosinusitis are present <10 days and the symptoms are not worsening.

Chronic rhinosinusitis: Twelve weeks or longer of two (2) or more of the following signs and symptoms:   

• mucopurulent drainage (anterior, posterior, or both)

• nasal obstruction (congestion),

• facial pain/pressure/fullness, or

• decreased sense of smell.

AND inflammation is documented by one or more of the following findings:
• purulent (not clear) mucus or edema in the middle meatus or anterior ethmoid region,
• polyps in nasal cavity or the middle meatus, and/or
• radiographic imaging showing inflammation of the paranasal sinuses (X-rays or, even better, CT).

Recurrent acute rhinosinusitis: Four or more episodes per year of acute bacterial rhinosinusitis without signs or symptoms of rhinosinusitis between episodes:
• Each episode of acute bacterial rhinosinusitis should meet diagnostic criteria outlined above.

So, that pretty much does it for the definitions. These are some terms that you may hear doctors throw around and it's important to understand each other. The next post will detail specific recommendations for diagnosis and treatment for acute and chronic sinusitis.

I could go on, but I won't.  Chiefly because your snoring is embarassing!  Come see us, and bring cookies!  205-980-2091.


Sinusitis Guidelines
Sinusitis Guidelines 3