{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T11:57:02Z","timestamp":1791633422422,"version":"4.3.4"},"reference-count":45,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,8,2]],"date-time":"2022-08-02T00:00:00Z","timestamp":1659398400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To perform a systematic review of proposed sinus computed tomography (CT) scoring systems and determine their association with patient\u2010reported outcome measures (PROMs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Sources<\/jats:title><jats:p>PubMed, CINAHL, Scopus, and Cochrane Library.<\/jats:p><\/jats:sec><jats:sec><jats:title>Review Methods<\/jats:title><jats:p>A systematic search was conducted following the PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta\u2010analyses) for studies describing CT scores and PROMs in patients with chronic rhinosinusitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 144 studies were included. Out of 20,741 patients, 53.6% were male and 55.5% had nasal polyposis. A meta\u2010analysis of correlations revealed a moderate correlation between Lund\u2010McKay (LM) and the 22\u2010item Sinonasal Outcome Test (SNOT\u201022; <jats:italic>r<\/jats:italic> = 0.434, <jats:italic>P<\/jats:italic> &lt; .001) and a weaker correlation between LM and the 20\u2010item Sinonasal Outcome Test (SNOT\u201020; <jats:italic>r<\/jats:italic> = 0.257, <jats:italic>P<\/jats:italic> = .039). Meta\u2010regression also revealed a weak association between LM and SNOT\u201020 (n = 25 studies) but no significant associations between Zinreich score and SNOT\u201022 or LM scores and PROMs, including SNOT\u201022 (n = 94 studies), Rhinosinusitis Disability Index (n = 25), nasal obstruction visual analog scale (n = 15), Chronic Sinusitis Survey (n = 12), Total Nasal Symptom Score (n = 4), Total Symptom Score (n = 3), and 12\u2010Item Short Form Health Survey (n = 3).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There is essentially little association between radiologic grade and PROMs. CT grading systems with improved clinical utility are 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