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Kronisk rinosinuitis

Marlene Richter Jensen, Elisabeth Arndal & Christian von Buchwald Øre-næse-halskirurgisk og Audiologisk Klinik, Rigshospitalet

Ugeskr Læger 2018;180:V05180344
Ugeskr Læger 2018;180:V05180344

Marlene Richter Jensen, Elisabeth Arndal &
Christian von Buchwald:

Chronic rhinosinusitis

Ugeskr Læger 2018;180:V05180344

The aim of this review is to evaluate current guidelines for diagnosis, treatment and follow-up of patients with chronic rhinosinusitis. We discuss: 1) diagnostic criteria, 2) the use of supplementary tools like VAS, Sino-Nasal Outcome Test and Sniffin’ Sticks, 3) the use of tests like allergy, serum IgE and biopsy and 4) comorbidity in relation to the unified airways concept. Furthermore, we evaluate: 1) initial treatment with topical steroids and nasal irrigation, 2) additional treatment options including surgery, systemic steroids and antibiotics and 3) treatment risks. Follow-up of patients is important for evaluating treatment effect and possible need of further treatment.

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