16
Diagnosis and Treatment
KAS
3
KAS
6
KAS
7
Verify that signs/symptoms
meet CPG diagnosis criteria
Assign appropriate
individualized medical therapy
Educate patient about
postoperative care expectations
Tailor extent of surgery to patient's
disease, not solely mucosal
thickening measurements
Perform wide exposure
+/– tissue removal
Avoid arbitrary guidelines
for mucosal thickening
Assess additional disease
characteristics of CRS
May prescribe antibiotics
Do not offer ESS
YES
YES
YES
YES
Does the patient
have evidence of
purulence?
Is CRS controlled
with appropriate
medical therapy?
Has patient had
a recent adequate
sinus CT scan?
Does the patient
have polyps, fungus,
osteitis, erosion?
KAS 1A
KAS 2
KAS 9
KAS 10
KAS 8
Adult patient with suspected CRS
Make Decision
Start or Stop
Action
Figure 6. Surgical Management of CRS Flowchart
