{"id":7478,"date":"2020-04-29T20:22:09","date_gmt":"2020-04-29T20:22:09","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=7478"},"modified":"2026-01-09T19:04:06","modified_gmt":"2026-01-09T19:04:06","slug":"chronic-rhinosinusitis","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/chronic-rhinosinusitis\/","title":{"rendered":"Diagnostic Criteria for Chronic Rhinosinusitis (CRS)"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Chronic rhinosinusitis is defined by the presence of at least two out of four cardinal symptoms (i.e., facial pain\/pressure, hyposmia\/anosmia, nasal drainage, and nasal obstruction) for at least 12 consecutive weeks, in addition to objective evidence. Objective evidence of chronic rhinosinusitis may be obtained on physical examination (anterior rhinoscopy, endoscopy) or radiography, preferably from sinus computed tomography.<!--more--><\/p>\n<p><strong>Chronic and recurrent rhinosinusitis definitions<\/strong><\/p>\n<p>Chronic rhinosinusitis (CRS): Twelve (12) weeks or longer of two or more of the following signs and symptoms:<\/p>\n<ul>\n<li>Mucopurulent drainage (anterior, posterior, or both)<\/li>\n<li>Nasal obstruction (congestion)<\/li>\n<li>Facial pain-pressure-fullness, or<\/li>\n<li>Decreased sense of smell<\/li>\n<\/ul>\n<p>AND inflammation is documented by one or more of the following findings:<\/p>\n<ul>\n<li>Purulent (not clear) mucus or edema in the middle meatus or ethmoid region<\/li>\n<li>Polyps in nasal cavity or the middle meatus, and\/or<\/li>\n<li>Radiographic imaging showing inflammation of the paranasal sinuses<\/li>\n<\/ul>\n<p>Recurrent acute rhinosinusitis: Four (4) or more episodes per year of Acute bacterial rhinosinusitis (ABRS) without signs or symptoms of rhinosinusitis between episodes.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Rosenfeld RM, Piccirillo JF, Chandrasekhar SS, Brook I, Ashok Kumar K, Kramper M, Orlandi RR, Palmer JN, Patel ZM, Peters A, Walsh SA, Corrigan MD. Clinical practice guideline (update): adult sinusitis.\u00a0Otolaryngol Head Neck Surg. 2015 Apr;152(2 Suppl):S1-S39. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25832968\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Rosenfeld RM. Clinical practice guideline on adult sinusitis.\u00a0Otolaryngol Head Neck Surg. 2007 Sep;137(3):365-77. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17765760\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Sedaghat AR. Chronic Rhinosinusitis. Am Fam Physician. 2017;96(8):500\u2013506. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29094889\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>de Oliveira AMFF, Lobato DM, Signorelli LG, Lorenzetti FTM, Zancanella E, Machado J\u00fanior AJ. Sleep and chronic rhinosinusitis: a systematic review of postoperative data. Sleep Sci. 2025 Dec 31;18(4):e436-e443. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41480569\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created Mar 19, 2020.<br \/>\nUp-date Jan 09, 2026.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[39],"tags":[146,16,15,145,2148,14,13,140,143,2161,1078],"class_list":["post-7478","post","type-post","status-publish","format-standard","hentry","category-infetious-disease","tag-chronic","tag-criteria","tag-criterios","tag-cronica","tag-crs","tag-diagnostic","tag-diagnostico","tag-rhinosinusitis","tag-rinosinusitis","tag-rsc","tag-sinusitis"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/7478","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=7478"}],"version-history":[{"count":7,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/7478\/revisions"}],"predecessor-version":[{"id":10582,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/7478\/revisions\/10582"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=7478"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=7478"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=7478"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}