Chronic rhinosinusitis: medical versus surgical management

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Chronic rhinosinusitis: epidemiology and medical management.

Chronic rhinosinusitis (CRS) affects 12.5% of the US population. On epidemiologic grounds, some association has been found between CRS prevalence and air pollution, active cigarette smoking, secondhand smoke exposure, perennial allergic rhinitis, and gastroesophageal reflux. The majority of pediatric and adult patients with CRS are immune competent. Data on genetic associations with CRS are sti...

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BACKGROUND Chronic rhinosinusitis has a major impact on the quality of life of patients with cystic fibrosis (CF) and may contribute to progression of chronic lung disease. Despite multiple sinus surgeries, maxillary sinus involvement is a recurrent problem. The modified endoscopic medial maxillectomy (MEMM) permits debridement in the clinic, improves mucus clearance with nasal irrigations, an...

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Advances in the Surgical Management of Chronic Rhinosinusitis

The surgical management of chronic rhinosinusitis has evolved considerably in the last decade. We currently have a more refined understanding of the various disease entities that make up the generic diagnosis of chronic rhinosinusitis. This has led to the development of more sophisticated medical and surgical therapy for the different entities. Failure of maximal medical therapy leads to the co...

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Chronic sphenoid rhinosinusitis is a spectrum of inflammatory diseases in isolated sphenoid sinus which may persist over a period of 12 weeks. It is a different entity from other types of rhinosinusitis because clinical presentations include headache, visual loss or diplopia, and patients may or may not have nasal obstruction or nasal discharge. Nasal endoscopic examination is useful, and compu...

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Refractory Chronic Rhinosinusitis: Etiology & Management

The true incidenceof RCRS is unknown. It is estimated that at least 10 % of patients with CRS continue to be symptomatic after appropriate endoscopic sinus surgery (ESS) with long term follow up. This 10% failure rate translates into 30,000 patients yearlyundergoing ESS with poor postoperative outcome.Because these numbers are cumulative over years, approximately450,000 cases in the United Stat...

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ژورنال

عنوان ژورنال: International Journal of Otorhinolaryngology and Head and Neck Surgery

سال: 2021

ISSN: 2454-5937,2454-5929

DOI: 10.18203/issn.2454-5929.ijohns20212451