Not all congestion-producing, ear-popping, runny-nosed, headachy chronic rhinosinusitis infections are the same, researchers have found.
Rather, this problem that afflicts some 30 million Americans annually has four severity classifications that could help guide treatment today and help find better treatments in the future, says the lead author on the study published in the November issue of The Laryngoscope. “The way we have been reporting on chronic sinusitis is we lump it all together so we are comparing apples to oranges,” says Dr. Stilianos E. Kountakis, otolaryngologist and vice chair of the Medical College of Georgia Department of Otolaryngology-Head and Neck Surgery. “We treat one patient one way and get this outcome, and we treat a similar patient the same way and get another outcome. Using clinical parameters alone does not really predict well what is going to happen to the patient.”
Researchers decided to factor in some basic science as they took a retrospective look at 55 patients who had surgery for their disease at the University of Virginia at Charlottesville, where Dr. Kountakis was previously on faculty. The studies included clinical parameters, such as preoperative computerized tomography scans and endoscopic exams as well as patient reports of their symptoms based on the Sino-Nasal Outcome Test, or SNOT.
Toni Baker | EurekAlert!
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