Objective:

To provide practice recommendations for imaging choices and diagnostic considerations in evaluating nasal obstruction and epistaxis, specifically targeting general radiologists.

Key Findings:

• Nasal obstruction affects approximately 30-40% of the general population, often due to benign conditions, but serious underlying issues must be ruled out.
• Imaging is crucial when clinical findings are inconclusive or when surgical intervention is planned, as it aids in differentiating benign from serious conditions.
• Sinonasal neoplasms are rare but can present with nonspecific symptoms like nasal obstruction and epistaxis, necessitating careful evaluation.

Interpretation:

Imaging plays a vital role in the diagnosis and management of nasal obstruction and epistaxis, particularly in complex cases where differentiation between benign and serious conditions is essential.

Limitations:

• The article does not provide specific data on the prevalence of imaging use in practice.
• Recommendations may not cover all potential underlying conditions leading to nasal obstruction or epistaxis, and variability in practice across regions may exist.

Conclusion:

The guidelines integrate international evidence-based recommendations to inform best practices for general radiologists in managing nasal obstruction and epistaxis, emphasizing the importance of adherence to these guidelines.