Table 2.

Criteria for uncontrolled severe chronic rhinosinusitis.

MANDATORY presence of the criterion:

Persistence of symptoms after optimized clinical and surgical treatment

Associated with the presence of at least 3 clinical criteria below:

Moderate to severe nasal congestion measured by Visual Analogue Scale (VAS) ≥5

Severe hyposmia or anosmia measured by tests validated in Brazil

SNOT-22 > 35

Uncontrolled asthma

At least 2 courses of oral corticosteroids in one year

At least 1 previous nasal endoscopic surgery

And 1 more of the two criteria:

Presence of bilateral nasal polyps extending beyond the middle meatus, preferably confirmed by nasal endoscopy

Computed tomography with significant opacification – minimum Lund-Mackay score of 10