Surgical Management of CRS – AAO-HNSF Clinical Practice Guideline

Saturday, October 11, 2025

9:30 AM - 10:30 AM EDT

Location: 123-124

Disclosure(s):

Meghan N. Wilson, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Margo K. McKenna, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Corinna G. Levine, MD, MPH:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

PROGRAM DESCRIPTION: Chronic rhinosinusitis (CRS) affects up to 16% of the US population, significantly impacting patient’s physical, mental, and financial well-being. As such, it leads to >14 million ambulatory visits annually and often requires surgical management as an adjunct to medical care. CRS is a heterogeneous disease, and when to utilize surgery, the timing, and the role of surgery can vary depending on the CRS subtype. Clinicians and their designees must stay informed about the latest and best evidence on surgical intervention, including when surgery is warranted, the appropriate extent of surgery to optimize outcomes, and the role of imaging and outcome measurement, especially for medically refractory CRS.

Given the substantial clinical impact of CRS surgery, a development group from multiple professional organizations was convened to identify opportunities for quality improvement and provide evidence-based guidelines. Guidelines can form the foundation to optimize patient care, promote safe and effective therapy, reduce unjustified variations in care, and minimize surgical risks.

This presentation will benefit otolaryngologists who are involved in managing adults with CRS who are potential candidates for endoscopic sinus surgery.

OUTCOME OBJECTIVE 1: Provide clinicians with trustworthy, evidence-based recommendations on surgical management of CRS as part of overall care plan; focused on when surgery is warranted, appropriate extent of surgery for best outcomes, and the role of imaging and outcome measurement in surgical CRS management.

OUTCOME OBJECTIVE 2: Empower clinicians to educate patients and their families about surgical management of chronic rhinosinusitis and to engage them in shared decision-making.

OUTCOME OBJECTIVE 3: Identify opportunities for quality improvement, optimize patient care, promote safe and effective therapy, reduce unjustified or ineffective surgical care, and reduce the risk of harm.

BACKGROUND STATEMENT: CRS is a disease that presents in diverse subtypes with variable treatment, requiring surgical intervention as part of an overall care plan. The guideline is to identify QI opportunities and provide clinicians trustworthy, evidence-based recommendations for the surgical management of CRS.

Comprehensive Otolaryngology Track Statement :

Moderator(s)

KL

Kent K. Lam, MD

Associate Professor
Eastern Virginia Medical School at Old Dominion University
Norfolk, VA, United States

Disclosure information not submitted.

Panelist(s)

Meghan N. Wilson, MD

Dr. Meghan Wilson
Associated Otolaryngologists of Pennsylvania
Hershey, PA, United States

Disclosure(s):
faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.
MM

Margo K. McKenna, MD

Associate Professor, Department of Otolaryngology
University Otolaryngology Associates/ University of Rochester
Rochester, NY, United States

Disclosure(s):
faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.
Corinna G. Levine, MD, MPH

Associate Professor
University of Miami Miller School
Miami, FL, United States

Disclosure(s):
faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.