Rhinosinusitis: Evidence and experience – 2024

Rhinosinusitis: Evidence and experience – 2024

It has been 10-years since the publication of Rhinosinusitis: evidence and experience, and since then a lot has changed in our understanding of the disease. Advances in pathophysiology, endotyping and new treatments such as biologics brought a new era in the management of our patients. This new guid...

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Main Authors: Fabrizio Ricci Romano, Wilma Terezinha Anselmo-Lima, Eduardo Macoto Kosugi, Eulalia Sakano, Fabiana Cardoso Pereira Valera, Marcus Lessa, Renato Roithmann, Shirley Pignatari, Alexandre Wady Debes Felippu, Camila Degen Meotti, Carolina Cincurá Barreto, Dirceu Solé, Ekaterini Simões Goudouris, Fábio Chigres Kuschnir, Fabio de Rezende Pinna, Faradiba Sarquis Serpa, Gabriela Ricci Lima Luz Matsumoto, Gustavo Subtil Magalhães Freire, João Ferreira Mello, Junior, José Laerte Boechat, Leonardo Lopes Balsalobre Filho, Marcel Menon Miyake, Marcio Nakanishi, Marco Aurélio Fornazieri, Mariana Dalbo Contrera Toro, Miguel Soares Tepedino, Norma de Paula Motta Rubini, Olavo de Godoy Mion, Ricardo Landini Lutaif Dolci, Richard Louis Voegels, Roberto Eustáquio Guimarães, Sérgio Duarte Dortas, Junior, Thiago Freire Pinto Bezerra, Vanessa Ramos Pires Dinarte, Edwin Tamashiro, Otávio Bejzman Piltcher
Format: Article
Language:English
Published: Elsevier 2025-09-01
Series:Brazilian Journal of Otorhinolaryngology
Subjects:
Rhinosinusitis consensus
Online Access:http://www.sciencedirect.com/science/article/pii/S1808869425000382
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Summary:It has been 10-years since the publication of Rhinosinusitis: evidence and experience, and since then a lot has changed in our understanding of the disease. Advances in pathophysiology, endotyping and new treatments such as biologics brought a new era in the management of our patients. This new guideline, developed jointly by ABR and ABORL-CCF, with the help of ASBAI presents an updated, evidence-based approach to the different forms of rhinosinusitis that aims to improve the diagnosis and treatment of this complex disease. The document covers a wide range of topics, including clear definitions of the different stages of acute sinusitis. It also introduces a new term called Prolonged Acute Viral Rhinosinusitis. Reviews phenotypes and endotypes of chronic rhinosinusitis, recommending methods for clinical and laboratory investigation, clinical and surgical treatment. We also discuss in detail fungal sinusitis and pediatric sinusitis. The objective of this updated Consensus is to clarify some already established and recent concepts, highlighting the importance of an accurate diagnosis to promote treatment approaches that reflect the best practices based on solid evidence. Therefore, we seek not only to improve the results of patients care, but also to guide thealth professionals through a clinical panorama that is in constant transformation.
ISSN:1808-8694

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