ICD-11 code : CA0A;
Preferred Label : Chronic rhinosinusitis;
ICD-11 definition : Sinusitis is an inflammation of the mucosal lining of the paranasal sinuses secondary
to both infectious and allergic mechanisms. The retention of sinus secretions is the
most important event in the development of sinusitis. This creates a favorable milieu
for the growth of infection agents and may be caused by the obstruction or narrowing
of sinus ostia, mucociliary dysfunction and changes in mucus composition. 90% of sinus
infections involve the maxillary sinus. Chronic sinusitis refers to symptom duration
lasting 3 months or more. Diagnosis of sinusitis is based on past history and physical
examination findings. The CT scan is the most sensitive technique in evaluating sinus
disease. The goals of management of chronic sinusitis are to eradicate infection,
to relieve ostiomeatal obstruction, to normalize mucociliary clearance, and to prevent
complications. When pharmaceutical treatment does not have any remarkable improvement
or when a surgical approach can be chosen as patient's complication, surgical intervention
should be aimed to establish an effective sinus drainage from the ostium. . Functional
endoscopic sinus surgery (FESS) describes endoscopic techniques that have revolutionized
the approach to sinus disease. The procedure is aimed at restoring the functional
physiology of sinus aeration and drainage via the expanded ostiomeatal complex while
minimizing surgical alteration of the normal anatomic pathways.;
ICD-11 synonym : Chronic sinusitis; chronic sinusitis NOS; chronic infection of sinus;
ICD-11 inclusion : fistula of nasal sinus; sinus disease; sinus suppuration; unspecified sinusitis; chronic empyema of nasal sinus; accessory sinuses fistula; pyocele of turbinate; sequestrum of sinus; sinus trouble; sinus empyema; inflammatory perforation; granuloma of sinus; chronic nasal sinus inflammation; accessory sinus bone abscess; empyema of nasal sinus; chronic suppuration of accessory sinus; chronic accessory sinus infection; chronic infection of nasal sinus; empyema of sinus; sinus abscess; inflammation of accessory sinus; chronic suppuration of nasal sinus; sinus infection; degeneration of sinus; chronic abscess of nasal sinus; parasinus abscess; chronic infection of accessory sinus; chronic abscess of accessort sinus; nasal sinus empyema; nose sinus abscess; suppuration of accessory sinus; nasal sinus abscess; chronic accessory sinus empyema; accessory sinus abscess; nasal sinus fistula; pyocele of sinus; nasal sinus inflammation; sinus fistula; accessory sinus empyema; chronic empyema of accessory sinus; accessory sinus infection; inflammatory sinus tract; sinus inflammation;
ICD-11 "other" category code : CA0A.Y;
ICD-11 "unspecified" category code : CA0A.Z;
Origin ID : 1836987572;
UMLS CUI : C0149516;
Automatic exact mappings (from CISMeF team)
Currated CISMeF NLP mapping
ICD-10 Mapping
Semantic type(s)
UMLS correspondences (same concept)
Sinusitis is an inflammation of the mucosal lining of the paranasal sinuses secondary
to both infectious and allergic mechanisms. The retention of sinus secretions is the
most important event in the development of sinusitis. This creates a favorable milieu
for the growth of infection agents and may be caused by the obstruction or narrowing
of sinus ostia, mucociliary dysfunction and changes in mucus composition. 90% of sinus
infections involve the maxillary sinus. Chronic sinusitis refers to symptom duration
lasting 3 months or more. Diagnosis of sinusitis is based on past history and physical
examination findings. The CT scan is the most sensitive technique in evaluating sinus
disease. The goals of management of chronic sinusitis are to eradicate infection,
to relieve ostiomeatal obstruction, to normalize mucociliary clearance, and to prevent
complications. When pharmaceutical treatment does not have any remarkable improvement
or when a surgical approach can be chosen as patient's complication, surgical intervention
should be aimed to establish an effective sinus drainage from the ostium. . Functional
endoscopic sinus surgery (FESS) describes endoscopic techniques that have revolutionized
the approach to sinus disease. The procedure is aimed at restoring the functional
physiology of sinus aeration and drainage via the expanded ostiomeatal complex while
minimizing surgical alteration of the normal anatomic pathways.