SARCOIDOSIS OF THE SINONASAL TRACT - A NEW STAGING SYSTEM

Sarcoidosis is a chronic multisystem granulomatous disease that has a predilection for pulmonary and upper respiratory tract involvement. Be cause the initial signs and symptoms of sarcoidosis may be identical t o those of other forms of chronic sinonasal inflammatory disease, thes e patients will often first seek treatment from an otolaryngologist. W e present a series of 28 patients whose primary symptoms was involveme nt of a sinonasal tract. A new staging system is proposed to categoriz e the severity and sites of involvement and to guide the aggressivenes s of therapy. Sarcoidosis should be considered in the differential dia gnosis of inflammatory sinonasal disease.