title: Chronic rhinosinusitis.
abstract: This article defines chronic rhinosinusitis (CRS) and shares contemporary principles for its diagnosis and management, focusing on practical considerations for rhinoplasty surgeons. Nasal obstruction, the most common symptom of CRS, is frequently the chief complaint of patients seeking functional rhinoplasty surgery. Because correcting sites of anatomic obstruction to nasal airflow alone is unlikely to adequately treat CRS, rhinoplasty surgeons must have a firm understanding of the origin, diagnosis, and management of this disease process. With no single cause identified, CRS is likely an umbrella diagnosis or syndrome encompassing numerous causative factors, with the common end point of chronic sinonasal inflammation.
authors.affiliation: Division of Otolaryngology-Head & Neck Surgery, University of Utah School of Medicine, 50 North Medical Drive, 3C120, Salt Lake City, UT 84132, USA. dainesmd@gmail.com
authors.forename: Steven Marc
authors.initials: SM
authors.lastname: Daines
authors.forename: Richard R
authors.initials: RR
authors.lastname: Orlandi
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D002404:Catheterization; D002908:Chronic Disease; D006801:Humans; D015508:Nasal Obstruction / Q000209:etiology / Q000601:surgery; D012220:Rhinitis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D012225:Rhinoplasty; D012852:Sinusitis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D007507:Therapeutic Irrigation
chemical_list: D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents