Lund-Mackay Sinusitis Stage

Assess severity of chronic rhinosinusitis and assess response to therapy


1.Right Frontal:
2.Right Maxillary:
3.Right Anterior Ethmoid:
4.Right Posterior Ethmoid:
5.Right Sphenoid:
6.Right Ostiomeatal Complex:
7.Left Frontal:
8.Left Maxillary:
9.Left Anterior Ethmoid:
10.Left Posterior Ethmoid:
11.Left Sphenoid:
12.Left Ostiomeatal Complex:


The Lund-Mackay sinusitis staging system is a simple tool that may be used to quantify the severity of chronic rhinosinusitis and to assess a patient's response to therapy. This system is based solely upon findings on CT scan, and does not require any formal training in radiology to use. Limitations of this system are seen in patients who have previously had sinus surgery, patients with absent frontal sinus(es) and the inability to differentiate between retained mucous and mucosal thickening within the sinuses on CT scan. One method of dealing with absent sinus(es) is to score a patient as 0 for the sinus in question for this case.


Lund VJ, Kennedy DW.

Staging for rhinosinusitis.

Otolaryngology—Head and Neck Surgery 1997, 117 (3 Pt 2): S35-40

Lund VJ, Kennedy DW.

Quantification for Staging Rhinosinusitis. The Staging and Therapy Group.

Annals of Otology, Rhinology & Laryngology. Supplement 1995, 167: 17-21

The Lund-Mackay Sinusitis Stage calculator is created by QxMD.

Created by on 29/05/2019

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1. Right Frontal:

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