Clinical definition of rhinosinusitis in adults
Clinical definition of rhinosinusitis in children
Rhinosinusitis in adults is defined as:
- inflammation of the nose and the paranasal sinuses
characterised by two or more symptoms, one of which
should be either nasal blockage/obstruction/congestion
or nasal discharge (anterior/posterior nasal drip):
± facial pain/pressure
± reduction or loss of smell
and either - endoscopic signs of:
– nasal polyps, and/or
– mucopurulent discharge primarily from middle meatus and/or
– oedema/mucosal obstruction primarily in middle meatus
and/or - CT changes:
– mucosal changes within the ostiomeatal complex and/or
sinuses
Paediatric rhinosinusitis is defined as:
- presence of two or more symptoms one of which should
be either nasal blockage/obstruction/congestion or nasal
discharge (anterior/posterior nasal drip):
1. Executive summary including integrated care pathways
EPOS 2020 POSITION PAPER
± facial pain/pressure
± cough
and either - endoscopic signs of:
– nasal polyps, and/or
– mucopurulent discharge primarily from middle meatus and/or
– oedema/mucosal obstruction primarily in middle meatus
and/or - CT changes:
– mucosal changes within the ostiomeatal complex and/or
sinuses
Acute rhinosinusitis (ARS) in adults
Acute rhinosinusitis in children
Acute rhinosinusitis in adults is defined as:
sudden onset of two or more symptoms, one of which should be
either nasal blockage/obstruction/congestion or nasal discharge
(anterior/posterior nasal drip):
• ± facial pain/pressure
• ± reduction or loss of smell
for <12 weeks;
with symptom free intervals if the problem is recurrent, with
validation by telephone or interview.
Acute rhinosinusitis in adults is defined as:
sudden onset of two or more symptoms, one of which should be
either nasal blockage/obstruction/congestion or nasal discharge
(anterior/posterior nasal drip):
• ± facial pain/pressure
• ± reduction or loss of smell
for <12 weeks;
with symptom free intervals if the problem is recurrent, with
validation by telephone or interview.
Guideline Rhinosinusitis
