Individual SNOT-22 Items Aid in Differentiating Between Spontaneous Cerebrospinal Fluid Rhinorrhea and Chronic Rhinosinusitis Without Nasal Polyps.

Matthew Y LiuJames Reed GardnerBradford A WoodworthDavid W JangAlissa KanaanJeffrey Paul RadabaughWilliam C YaoMartin GorosMegana ChallaJessica W GraysonZhu WangPhilip G Chen

Published in: The Annals of otology, rhinology, and laryngology (2022)

Spontaneous CSF rhinorrhea is commonly misdiagnosed as other sinonasal pathologies. However, individual SNOT-22 items can help aid in suggesting a CSF leak. Spontaneous CSF rhinorrhea should be suspected in patients who have high SNOT-22 scores for runny nose and report this symptom as most important, but have lower scores related to the other cardinal symptoms of CRS.

Keyphrases

chronic rhinosinusitis
cerebrospinal fluid
end stage renal disease
newly diagnosed
ejection fraction
chronic kidney disease
prognostic factors
pulmonary embolism
computed tomography
patient reported
sleep quality
depressive symptoms