" /> Chronic rhinosinusitis - CISMeF





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;

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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.

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10/05/2025


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