Rhinosinusitis classification

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dima Nimri, M.D. [2]

Overview

Classification

By Location

There are several paired paranasal sinuses, including the frontal, ethmoid, maxillary and sphenoid sinuses. Sinusitis can be classified by the sinus cavity which it affects:[1][2][3]

By Duration

Based on the duration of symptoms, sinusitis may be classified into:[4]

  • Acute (symptoms lasting less than four weeks)
    • Acute Viral Rhinosinusitis
    • Acute Bacterial Rhinosinusitis
  • Subacute (symptoms lasting 4-12 weeks) or
  • Chronic (symptoms lasting 12 or more weeks)
    • Chronic sinusitis with nasal polyposis
    • Chronic sinusitis without nasal polyposis
    • Allergic fungal sinusitis

By Etiology

Sinusitis may be classified based on the causative agent into:[4][5]

  • Viral: also known as the common cold or the flu
  • Bacterial
    • Complicated
    • Uncomplicated
  • Fungal

References

  1. World Health Organization International Classification of Disease (2016) http://apps.who.int/classifications/icd10/browse/2016/en#/J01 Accessed on September 22, 2016.
  2. American Academy of Allergy Asthma and Immunology (2014) https://www.aaaai.org/Aaaai/media/MediaLibrary/PDF%20Documents/Practice%20Management/finances-coding/sinus-disease-codes-ICD10.pdf Accessed on September 22, 2016.
  3. Mandell, Gerald; Douglas, R.Gordon; Bennett, John (1985). Principles and Practice of Infectious Disease. USA: A Wiley Medical Publication. p. 370. ISBN 0471876437.
  4. 4.0 4.1 Rosenfeld RM (2016). "CLINICAL PRACTICE. Acute Sinusitis in Adults". N Engl J Med. 375 (10): 962–70. doi:10.1056/NEJMcp1601749. PMID 27602668.
  5. Hwang PH (2009). "A 51-year-old woman with acute onset of facial pressure, rhinorrhea, and tooth pain: review of acute rhinosinusitis". JAMA. 301 (17): 1798–807. doi:10.1001/jama.2009.481. PMID 19336696.

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