Updated Clinical Guidelines for Surgical Treatment of Chronic Rhinosinusitis in Adults
New clinical guidelines from the American Academy of Otolaryngology provide evidence-based recommendations for the surgical treatment of chronic rhinosinusitis in adults, emphasizing diagnosis, patient expectations, and personalized surgical planning.
A new set of clinical practice guidelines has been released by the American Academy of Otolaryngology-Head and Neck Surgery Foundation, offering comprehensive recommendations for the surgical management of chronic rhinosinusitis in adult patients. Published online on May 27 in Otolaryngology-Head and Neck Surgery, these guidelines aim to assist clinicians in making evidence-based decisions to improve patient outcomes.
Led by Dr. Jennifer J. Shin from Harvard Medical School, a panel of experts formulated 11 key action statements. These emphasize the importance of confirming a diagnosis of chronic rhinosinusitis prior to considering surgery. Notably, they advise against mandating a specific medical therapy regimen or trial duration before opting for surgical intervention. Patients with certain subtypes of rhinosinusitis—such as those with nasal polyps, polyps with bony erosion, eosinophilic mucin, or fungal balls—are highlighted as ideal surgical candidates who might benefit more from operative procedures than continued medical therapy.
The guidelines stress the importance of setting realistic expectations through thorough preoperative counseling. Patients should be informed about the potential for ongoing symptoms or disease recurrence, and the likelihood of requiring long-term medical management. Before surgery, a detailed computed tomography (CT) scan with fine-cut protocols is recommended to assess the sinuses and guide surgical planning. The extent of surgery should not be based solely on arbitrary imaging criteria like mucosal thickening or sinus opacification but should be tailored to individual patient anatomy and disease presentation.
Furthermore, patient education regarding postoperative care, including pain management, is essential. Dr. Shin emphasizes that these guidelines aim to streamline care pathways and support clinicians in delivering optimal treatment based on the latest evidence.
For more detailed information, consult the full guideline: DOI: 10.1002/ohn.1287. The guidelines are part of ongoing efforts to standardize and improve the surgical management of chronic rhinosinusitis in adults.
[Source: https://medicalxpress.com/news/2025-06-guidelines-issued-surgical-chronic-rhinosinusitis.html]
Stay Updated with Mia's Feed
Get the latest health & wellness insights delivered straight to your inbox.
Related Articles
Addressing Gut Infections in Men Who Have Sex with Men: A Growing Concern
Emerging research reveals the rising issue of sexually transmitted gut infections among men who have sex with men, emphasizing the need for improved detection, treatment, and preventative measures. Learn more about this growing health concern.
Enhancing Brain Tumor Immunotherapy Through Gut Microbes and Tryptophan Supplementation
New research reveals that manipulating gut microbes and supplementing tryptophan can boost the effectiveness of immunotherapy against resistant brain tumors like glioblastoma.
Introducing a New Hospital Quality Metric: Tracking Post-Surgery Discharges for Older Adults
A groundbreaking study introduces a new hospital quality metric that tracks discharges of older adults to post-acute care facilities after surgery, guiding improvements in patient outcomes and cost-efficiency.
Optimal Surgical Approach for Exposing Impacted Canines in Children: Open Technique Proven Superior by Recent Study
A new study compares open and closed surgical techniques for exposing impacted canines in children, revealing that the open technique is faster but more uncomfortable post-operation, guiding personalized treatment decisions.