Nasal endoscopy is recommended for diagnosing adults with chronic rhinosinusitis.

Autor: Wuister AM; Department of Otorhinolaryngology and Head & Neck Surgery, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands., Goto NA, Oostveen EJ, de Jong WU, van der Valk ES, Kaper NM, Aarts MC, Grolman W, van der Heijden GJ
Jazyk: angličtina
Zdroj: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery [Otolaryngol Head Neck Surg] 2014 Mar; Vol. 150 (3), pp. 359-64. Date of Electronic Publication: 2013 Dec 09.
DOI: 10.1177/0194599813514510
Abstrakt: Objective: To assess the diagnostic value of nasal endoscopic findings in adults suspected of chronic rhinosinusitis.
Data Sources: PubMed, EMBASE, and the Cochrane Library.
Review Methods: A comprehensive search was performed up to March 5, 2013. Articles that assessed the diagnostic value of nasal endoscopy in adults suspected of chronic rhinosinusitis were included. For selected articles, the study design was assessed for directness of evidence and risk of bias. Prevalence, positive, and negative predictive values were extracted from reported data.
Results: Out of 3899 unique publications, we included 3 diagnostic studies with a high directness of evidence and a low or moderate risk of bias for data extraction. They showed a prevalence of chronic rhinosinusitis (diagnosed with computed tomography) of .40 to .56. Compared with posterior probabilities we found an added value for ruling in chronic rhinosinusitis by a positive nasal endoscopy of 25% to 28% and an added value for ruling out chronic rhinosinusitis by a negative nasal endoscopy of 5% to 30%.
Conclusion and Recommendation: Computed tomography is not considered necessary in case of a positive nasal endoscopy. While nasal endoscopy cannot rule out chronic rhinosinusitis, we advise computed tomography only for patients with a prolonged or complicated course of rhinosinusitis.
Databáze: MEDLINE
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