Systemic therapies in managing sinonasal inflammation.

Abstract:

:Chronic rhinosinusitis (CRS) is a condition characterized by persistent inflammation due to intrinsic mucosal hypersensitivity or persistent infection. Proper medical treatment with antibiotic, leukotriene modifiers, oral corticosteroids, or even aspirin desensitization for the sinus inflammation can prevent the need for surgical intervention. The key to delineating the specific medical application is to determine the cause of the sinus mucosa dysfunction and its specific inflammatory pathway. Such targeted antiinflammatory medical therapy will lead to improved efficacy in the management of CRS. Even if surgical intervention is required, postoperative medical treatment is essential to minimizing the intrinsic mucosal inflammation and therefore preventing revision endoscopic procedures.

authors

DeMarcantonio MA,Han JK

doi

10.1016/j.otc.2010.02.013

subject

Has Abstract

pub_date

2010-06-01 00:00:00

pages

551-63, ix

issue

3

eissn

0030-6665

issn

1557-8259

pii

S0030-6665(10)00044-7

journal_volume

43

pub_type

杂志文章,评审
  • Updates in Pediatric Cholesteatoma: Minimizing Intervention While Maximizing Outcomes.

    abstract::Advances in pediatric otology have provided new tools to diagnose and manage complex otologic disease. Diffusion-weighted MRI provides the surgeon with a tool to detect recurrent or residual cholesteatoma that may obviate a second look surgery. Surgical trends move toward less invasive surgery. The literature provides...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.otc.2019.05.003

    authors: Luu K,Chi D,Kiyosaki KK,Chang KW

    更新日期:2019-10-01 00:00:00

  • Architectural deficiencies of the nose: treatment of the saddle nose and short nose deformities.

    abstract::The saddle nose and short nose deformities are challenging surgical problems characterized by significant architectural deficiencies of the nasal framework. These defects produce cosmetic and functional nasal problems. Reconstructive techniques and augmentation materials are reviewed. Case examples illustrate the auth...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章

    doi:10.1016/s0030-6665(05)70117-1

    authors: Dyer WK 2nd,Beaty MM,Prabhat A

    更新日期:1999-02-01 00:00:00

  • Biophotonic and other physical methods for characterizing oral mucosa.

    abstract::This article discusses biophotonic and other physical methods for characterizing oral mucosa. ...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.otc.2004.10.004

    authors: Tagg R,Asadi-Zeydabadi M,Meyers AD

    更新日期:2005-04-01 00:00:00

  • Mechanical endonasal dacryocystorhinostomy with mucosal flaps.

    abstract::Mechanical endonasal dacryocystorhinostomy (DCR) involves the creation of a large rhinostomy and the preservation of lacrimal and nasal mucosa. It replicates the main advantages of the external approach to DCR using minimally invasive techniques. A thorough knowledge of intranasal anatomy and the close collaboration o...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.otc.2006.07.007

    authors: Tsirbas A,Wormald PJ

    更新日期:2006-10-01 00:00:00

  • Genetic aspects of idiopathic speech and language disorders.

    abstract::At the outset of this article, we posed the question of whether or not the current evidence from genetic studies of DLD and stuttering indicate that it would be fruitful to conduct studies aimed at determining the gene location for each of these disorders. As we pointed out, because these are behavioral development di...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Ludlow CL,Dooman AG

    更新日期:1992-10-01 00:00:00

  • Medical management of non-neoplastic salivary gland disease.

    abstract::Non-neoplastic salivary gland disorders are increasing as a result of many factors. The role of salivary secretion in providing protection to the oral and pharyngeal tissues is discussed along with the diagnosis and treatment of some of the more common non-neoplastic salivary gland diseases. ...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Stuchell RN,Blitzer A,Mandel ID

    更新日期:1984-11-01 00:00:00

  • Well-differentiated carcinoma of the thyroid.

    abstract::Thyroid cancer will be diagnosed in more than 20,000 individuals in the United States in 2002. Approximately 16,000 of these patients will be women. During the same year, an estimated 1300 deaths from thyroid cancer are expected. The various types of thyroid cancer include papillary carcinoma, follicular carcinoma, Hu...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0030-6665(02)00127-5

    authors: Boone RT,Fan CY,Hanna EY

    更新日期:2003-02-01 00:00:00

  • Endoscopic Resection of Sinonasal and Ventral Skull Base Malignancies.

    abstract::The transnasal endoscopic resection of ventral skull base lesions represents a safe and effective method for the surgical management of sinonasal and ventral skull base malignancies in carefully selected cases. The goal of surgery is complete removal of all tumor with negative resection margins while maintaining the k...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.otc.2016.12.005

    authors: Alokby G,Casiano RR

    更新日期:2017-04-01 00:00:00

  • New frontiers in cochlear implantation: acoustic plus electric hearing, hearing preservation, and more.

    abstract::As cochlear implant technology has changed, so have implantation criteria. In addition to profoundly deaf individuals, candidacy has expanded to include those with significant remaining acoustic hearing. This article describes the devices that are now in clinical trial, discusses the rationale as to why residual heari...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.otc.2011.09.001

    authors: Mowry SE,Woodson E,Gantz BJ

    更新日期:2012-02-01 00:00:00

  • The office surgical suite: pros and cons.

    abstract::Today interest and enthusiasm regarding facial plastic surgery is burgeoning. Office surgery provides a new, more expedient, comfortable method of delivery of health care while directly responding to the growing concern among the public and government for improved cost containment of medical services. Awareness of imp...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Simons RL

    更新日期:1980-05-01 00:00:00

  • Stereotactic radiotherapy for vestibular schwannoma.

    abstract::Vestibular schwannomas are benign tumors of the Schwann cells of the eighth (VIII) cranial nerve. Precision radiotherapy techniques used to manage these tumors include stereotactic radiotherapy (SRT), which can be delivered with either a conventional or hypofractionated regimen. The radio-biologic rationale and report...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.otc.2009.04.008

    authors: Sweeney P,Yajnik S,Hartsell W,Bovis G,Venkatesan J

    更新日期:2009-08-01 00:00:00

  • Sialendoscopy strategies for difficult cases.

    abstract::Salivary gland preservation during treatment for obstructive duct and gland problems is a goal worth pursuing. Difficult cases may seem to be candidates for sialadenectomy. However, progress in endoscopic and open-surgical procedures can help the physician to find solutions that overcome difficult problems without rem...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.otc.2009.08.006

    authors: Fritsch MH

    更新日期:2009-12-01 00:00:00

  • Rehabilitation of hearing-impaired adults.

    abstract::Hearing loss produces a communication handicap which is not always predictable from audiometric results. Handicap questionnaires can be useful for identification of potential rehabilitation candidates. Hearing aids have been improved but cannot be expected to compensate for all the speech perception problems associate...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Riko K,Alberti PW

    更新日期:1984-11-01 00:00:00

  • Genetic and Immune Dysregulation in Chronic Rhinosinusitis.

    abstract::Chronic rhinosinusitis (CRS) is a prevalent condition that is heterogeneous in disease characteristics and multifactorial in cause. Although sinonasal mucosal inflammation in CRS is often either reversible or well-managed medically and surgically, a significant proportion of patients has a refractory form of CRS despi...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.otc.2016.08.009

    authors: Halderman A,Lane AP

    更新日期:2017-02-01 00:00:00

  • The immunoperoxidase-specific IgE assay in the otolaryngologic center.

    abstract::The debate between the skin testing allergist and the in vitro testing allergist goes on. Clearly, the in vitro methods of allergy testing are here to stay. In vitro testing is less limiting and offers a number of advantages to both the allergist and the patient. ...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Thompson RF,Lee KE

    更新日期:1985-11-01 00:00:00

  • Internet platforms for lifelong learning: a continuum of opportunity.

    abstract::Access to knowledge through the Internet has spawned a world of online learning, stimulating a new passion for lifelong learning in academia, professional environments, the workplace, and at home. This article takes a fresh look at the wide spectrum of opportunities for online medical education for physicians. We firs...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.otc.2007.07.007

    authors: Sedory Holzer SE,Kokemueller P

    更新日期:2007-12-01 00:00:00

  • Otolaryngology-Related Disorders in Underserved Populations, Otolaryngology Training and Workforce Considerations in North America.

    abstract::In North America, underserved and vulnerable populations experience poorer health outcomes despite greater per capita health care expenditures. Biologic, behavioral, and socioeconomic factors lead to more advanced disease presentation that may necessitate disparate treatment. Additionally, vulnerable populations are m...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.otc.2018.01.013

    authors: Westerberg BD,Lango MN

    更新日期:2018-06-01 00:00:00

  • Allergic fungal sinusitis in children.

    abstract::Allergic fungal sinusitis (AFS) is a subtype of eosinophilic chronic rhinosinusitis (CRS) characterized by type I hypersensitivity, nasal polyposis, characteristic computed tomography scan findings, eosinophilic mucus, and the presence of fungus on surgical specimens without evidence of tissue invasion. This refractor...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.otc.2012.03.003

    authors: Thorp BD,McKinney KA,Rose AS,Ebert CS Jr

    更新日期:2012-06-01 00:00:00

  • Regional flaps in facial reconstruction.

    abstract::Soft-tissue defects of the head and neck that are too extensive to be reconstructed with local flaps without excessive impairment of either form or function usually require repair by some type of regional flap. Selection of a specific regional flap depends on the type of defect, i.e., its size and location, and on the...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Baker SR

    更新日期:1990-10-01 00:00:00

  • Proton beam therapy in skull base pathology.

    abstract::The optimal treatment of chordomas is maximal safe resection followed by radiation therapy. Data have shown that the use of protons has increased the local control of chordomas. Because of their physical properties, proton therapy has a sharp decline at its distal range, thereby minimizing collateral damage. However, ...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.otc.2011.08.012

    authors: Alonso-Basanta M,Lustig RA,Kennedy DW

    更新日期:2011-10-01 00:00:00

  • Radiologic diagnosis of nonsquamous tumors of the head and neck.

    abstract::Nonsquamous cell tumors of the head and neck can be reliably identified and often accurately diagnosed by proper state of the art radiologic assessment. For optimal diagnostic and preoperative work-up of head and neck lesions, complete radiologic analysis is now essential. ...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Mafee MF,Langer B,Valvassori GE,Soboroff BJ,Friedman M

    更新日期:1986-08-01 00:00:00

  • Unusual fungal pathogens in fungal rhinosinusitis.

    abstract::Approximately 300 fungal species are known to cause mycotic disease in humans and other animals. More than 50 of these species are documented as agents of rhinosinusitis. Most such infections are caused by species of Aspergillus, Rhizopus, Alternaria, Bipolaris, and Curvularia. A growing number, however, has been attr...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0030-6665(00)80011-0

    authors: Schell WA

    更新日期:2000-04-01 00:00:00

  • A comprehensive review of the adverse effects of systemic corticosteroids.

    abstract::Corticosteroids are widely used in otolaryngology to treat many disorders; however, the nature and extent of possible complications may not be completely understood. A comprehensive review of the physiology of systemic corticosteroids and literature discussing the known side effects associated with their use is presen...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.otc.2010.04.003

    authors: Poetker DM,Reh DD

    更新日期:2010-08-01 00:00:00

  • Epidemiology of human papillomavirus-related head and neck cancer.

    abstract::Human papillomavirus (HPV) is now recognized to cause a subset of head and neck squamous cell carcinomas (HNSCC). Although excessive tobacco and alcohol use continue to be important risk factors for HNSCC, epidemiologic studies suggest that more than 25% of HNSCC are now caused by HPV. The incidence of HPV-related HNS...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.otc.2012.04.003

    authors: Joseph AW,D'Souza G

    更新日期:2012-08-01 00:00:00

  • Medical therapy of acute and chronic frontal rhinosinusitis.

    abstract::Despite innovations in surgical treatment of frontal sinus disease, medical therapy continues to be important. Preoperative, perioperative, and postoperative considerations are discussed. Diagnostic criteria, microbiology, and complications associated with frontal rhinosinusitis are also reviewed. ...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0030-6665(05)70293-0

    authors: Maccabee M,Hwang PH

    更新日期:2001-02-01 00:00:00

  • Pediatric rhinosinusitis.

    abstract::This review addresses the diagnosis and treatment of acute and chronic rhinosinusitis. Antimicrobial and adjuvant therapies, including topical treatments, are discussed. Surgical intervention is included in the treatment options. Clinical characteristics of rhinosinusitis are presented with an emphasis on history and ...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.otc.2014.06.003

    authors: Magit A

    更新日期:2014-10-01 00:00:00

  • Endoscopic endonasal surgery for sinonasal and skull base lesions in the pediatric population.

    abstract::Endoscopic endonasal skull base surgical techniques, initially developed in adult patients, are being utilized with increasing frequency in pediatric patients to treat sinonasal and skull base lesions. This article reviews the current state of endoscopic endonasal approaches to the skull base to both treat disease and...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.otc.2014.09.007

    authors: Rastatter JC,Snyderman CH,Gardner PA,Alden TD,Tyler-Kabara E

    更新日期:2015-02-01 00:00:00

  • Improving Team Performance Through Simulation-Based Learning.

    abstract::American health care is facing an epidemic of medical errors. A major cause of these errors is poor teamwork. Crisis resource management (CRM) is a set of teamwork principles derived from the airline industry. Medical simulation is an educational tool that affords health care providers a means of improving teamwork by...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.otc.2017.05.008

    authors: Volk MS

    更新日期:2017-10-01 00:00:00

  • Ossicular chain reconstruction. Capitulum to malleus.

    abstract::Ossicular chain reconstruction is most commonly performed for an absent or diseased incus. Reestablishing continuity by placing a strut prosthesis between the stapes capitulum and malleus handle minimizes the possibility of extrusion and displacement. Strut prostheses are made of hydroxyapetite, which is a highly bioc...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Kartush JM

    更新日期:1994-08-01 00:00:00

  • Management of cancer of the base of tongue.

    abstract::The management of base of tongue cancer has evolved steadily over time. Organ preservation with primary radiation therapy has produced excellent oncologic and functional outcomes. Concomitant chemotherapy has become important in patients with locoregionally advanced disease. Planned neck dissection after organ preserv...

    journal_title:Otolaryngologic clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.otc.2004.10.016

    authors: Han P,Hu K,Frank DK,Sessions RB,Harrison LB

    更新日期:2005-02-01 00:00:00