Disclaimer: this record is a non mandatory recommendation to help in health care decision making process. After reading it, patients are encouraged to review the information carefully with their physicians. Never disregard professional medical advice.
- The diagnosis of acute rhinosinusitis (ARS) is based on adequate medical history and physical examination.
- Sinuses x-ray does not improve the diagnostic appropriateness of adult ARS, it does not to differentiate between viral and bacterial aetiology and it does not modify therapeutic behaviour.
- Requesting a sinuses x-ray in the uncomplicated ARS is not indicated in adults, because it does not give any value in the treatment of that pathology, and instead it may be unnecessary risk to the patient, and expenditure.
Fokkens WJ, Lund VJ, Mullol J, Bachert C, Alobid I, Baroody F, et al. EPOS 2012: European position paper on rhinosinusitis and nasal polyps 2012. A summary for otorhinolaryngologists.
Chow AW, Benninger MS, Brook I, Brozek JL, Goldstein EJC, Hicks LA, et al. IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults.
Clin Infect Dis. 2012;54(8):e72-112.
American College of Radiology. ACR Appropriateness Criteria: Sinonasal Disease
2009 (reviewed 2012)
Canadian Association of Radiologists. CAR Diagnostic Imaging Referral Guidelines.
Kaplan A. Canadian guidelines for acute bacterial rhinosinusitis: clinical summary.
Can Fam Physician. 2014;60(3):227-34.
Rosenfeld RM, Piccirillo JF, Chandrasekhar SS, Brook I, Ashok Kumar K, Kramper M, et al. Clinical practice guideline (update): adult sinusitis.
Otolaryngol Head Neck Surg. 2015;152(2 Suppl):S1-S39.
Meltzer EO, Hamilos DL. Rhinosinusitis diagnosis and management for the clinician: a synopsis of recent consensus guidelines.
Mayo Clin Proc. 2011;86(5):427-43.
Rosenfeld RM. Clinical practice. Acute sinusitis in adults.
N Engl J Med. 2016;375(10):962-70.
Hwang PH. A 51-year-old woman with acute onset of facial pressure, rhinorrhea, and tooth pain: review of acute rhinosinusitis.
Podeu fer-nos comentaris o suggeriments sobre les recomanacions Essencial.
Grupo de Trabajo de la semFYC. Proyecto Recomendaciones «No hacer» 2a parte
ABIM Foundation. Choosing Wisely. Don’t routinely obtain radiographic imaging for patients who meet diagnostic criteria for uncomplicated acute rhinosinusitis.
A recommendation from the American Academy of Otolaryngology—Head & Neck Surgery Foundation; February 2013.