title: Clinical practice guideline (update): Adult Sinusitis Executive Summary.
abstract: The American Academy of Otolaryngology-Head and Neck Surgery Foundation has published a supplement to this issue featuring the updated "Clinical Practice Guideline: Adult Sinusitis" as a supplement to Otolaryngology-Head and Neck Surgery. To assist in implementing the guideline recommendations, this article summarizes the rationale, purpose, and key action statements. The 14 developed recommendations address diagnostic accuracy for adult rhinosinusitis, the appropriate use of ancillary tests to confirm diagnosis and guide management (including radiography, nasal endoscopy, computed tomography, and testing for allergy and immune function), and the judicious use of systemic and topical therapy. Emphasis was also placed on identifying multiple chronic conditions that would modify management of rhinosinusitis, including asthma, cystic fibrosis, immunocompromised state, and ciliary dyskinesia. An updated guideline is needed as a result of new clinical trials, new systematic reviews, and the lack of consumer participation in the initial guideline development group.
authors.affiliation: Department of Otolaryngology, SUNY Downstate Medical Center, Brooklyn, New York, USA richrosenfeld@msn.com.
authors.forename: Richard M
authors.initials: RM
authors.lastname: Rosenfeld
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Washington University in St Louis, School of Medicine, St Louis, Missouri, USA.
authors.forename: Jay F
authors.initials: JF
authors.lastname: Piccirillo
authors.affiliation: New York Otology, New York Head and Neck Institute, New York, New York, USA.
authors.forename: Sujana S
authors.initials: SS
authors.lastname: Chandrasekhar
authors.affiliation: Department of Pediatrics, Georgetown University, Washington, DC, USA.
authors.forename: Itzhak
authors.initials: I
authors.lastname: Brook
authors.affiliation: Department of Family Medicine, University of Texas Health Sciences Center at San Antonio, San Antonio, Texas, USA.
authors.forename: Kaparaboyna Ashok
authors.initials: KA
authors.lastname: Kumar
authors.affiliation: Department of Otolaryngology, Washington University in St Louis School of Medicine, St Louis, Missouri, USA.
authors.forename: Maggie
authors.initials: M
authors.lastname: Kramper
authors.affiliation: Division of Otolaryngology, University of Utah School of Medicine, Salt Lake City, Utah, USA.
authors.forename: Richard R
authors.initials: RR
authors.lastname: Orlandi
authors.affiliation: Department Otolaryngology, University of Pennsylvania Hospital, Philadelphia, Pennsylvania, USA.
authors.forename: James N
authors.initials: JN
authors.lastname: Palmer
authors.affiliation: Department of Otolaryngology Head & Neck Surgery, Emory University, Atlanta, Georgia, USA.
authors.forename: Zara M
authors.initials: ZM
authors.lastname: Patel
authors.affiliation: Department of Internal Medicine, Northwestern University Allergy Division, Chicago, Illinois, USA.
authors.forename: Anju
authors.initials: A
authors.lastname: Peters
authors.affiliation: Consumers United for Evidence-Based Healthcare, Davis, California, USA.
authors.forename: Sandra A
authors.initials: SA
authors.lastname: Walsh
authors.affiliation: AAO-HNS, Alexandria, Virginia, USA.
authors.forename: Maureen D
authors.initials: MD
authors.lastname: Corrigan
mesh_terms: D000328:Adult; D006801:Humans; D012220:Rhinitis / Q000175:diagnosis* / Q000628:therapy*; D012852:Sinusitis / Q000175:diagnosis* / Q000628:therapy*
keywords: rhinosinusitis; sinusitis