How to Assess, Control, and Manage Uncontrolled CRS/Nasal Polyp Patients.

Abstract:

PURPOSE OF REVIEW:Chronic rhinosinusitis (CRS) is a multidimensional inflammatory disorder of the nose and paranasal sinuses. We reviewed the recent literature to identify improved methods to assess, control, and manage these difficult to control patients. RECENT FINDINGS:The role of endotyping in CRS has offered a better understanding of the underlying pathophysiology and allows for more targeted treatment. The understanding of systemic disorders and their role in CRS and the importance of topical treatment reaching the sinuses has also allowed for better control of these patients. We have provided some of the commonly identified causes for uncontrolled CRS and a sensible approach to assessing these patients. We have also focused on common areas of pitfalls in the surgery and choice of patients and the role for ongoing systemic treatment. The future of managing this difficult condition includes endotyping using inflammatory markers and individualizing the treatment to the patient by using specific monoclonal antibodies.

authors

Sivasubramaniam R,Harvey RJ

doi

10.1007/s11882-017-0728-8

subject

Has Abstract

pub_date

2017-09-01 00:00:00

pages

58

issue

9

eissn

1529-7322

issn

1534-6315

pii

10.1007/s11882-017-0728-8

journal_volume

17

pub_type

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