13
KAS
7
KAS
7
Confirmed the
presence OR absence
of nasal polyps
Assess patient for chronic
conditions that would
modify management
Option of testing for allergy
and immune function
Recommend saline nasal irrigation
and/or topical intranasal corticosteroids
Do not prescribe topical or
systemic antifungal therapy
Do not prescribe antibiotics empirically solely
as a prerequisite for imaging or surgery
Signs and
symptoms of
CRS?
Documented
sinonasal
inflammation?
NO
NO
NO
a
Requires assurance of follow-up.
b
Failure to improve by 3–5 days aer diagnosis or worsening at any time.
DURATION: ≥12 WEEKS
KAS 10
KAS 8
KAS 9
KAS 11
KAS 12
KAS 14
KAS 13A
KAS 13B
Educate about the
role of biologicals
Do not prescribe
biologicals
Medical or surgical
management as appropriate
Possible other diagnosis
(allergies, migraine, etc.)
CRS
Make Decision
Start or Stop
Action
YES
YES
YES
