Maxillary sinusitis and bronchial asthma: Correlation of roentgenograms, cultures, and thermograms

Berman, Stanley Z.; Mathison, David A.; Stevenson, Donald D.; Usselman, James A.; Shore, Sydney; Tan, Eng M.

doi:10.1016/0091-6749(74)90111-0

Cited by 59 publications

(17 citation statements)

References 20 publications

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“…Previous studies demonstrated mild or moderate bronchial hyperresponsiveness to inhaled methacholine [19,20] in the patients with allergic rhinitis, with a prevalence of about 15-56%. This is the first report which describes the prevalence of methacholine bronchial hyperresponsiveness in chronic sinusitis patients without any bronchial disorders and it provides a comparison to allergic rhinitis, simple chronic bronchitis and bronchial asthma, although the association between sinusitis and asthma has been well recognized [1][2][3]. In a recent paper by Bucca et al [8], bronchial hyperresponsiveness, judged by the histamine concentration causing a 20% fall in FEV 1.0 (PC 20 ), was observed in 43% of chronic sinusitis patients during sinusitis exacerbation.…”

Section: Discussionmentioning

confidence: 99%

“…A prevalence of chronic sinusitis as high as 40-60% in bronchial asthma [2,3] and of more than 50% in chronic bronchitis has been reported [4]. The coincidence of chronic sinusitis deteriorates the clinical condition of these lower airway diseases, and the resolution of chronic sinusitis with medical and/or surgical treatment results in a significant improvement in lower airway symptoms and pulmonary function [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

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Methacholine Bronchial Hyperresponsiveness inChronic Sinusitis

Okayama

Iijima²,

Shimura³

et al. 1998

Respiration

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The coexistence of chronic sinusitis (CS) may deteriorate the clinical condition of lower airway diseases such as bronchial asthma (BA) or chronic bronchitis (CB). However, the bronchial hyperresponsiveness (BH) in CS without any apparent lower airway disease is not fully understood nor are the effects of treatment. We examined lower airway hyperresponsiveness to methacholine (MCh) in 42 subjects with CS but without allergic rhinitis (AR) who had normal lung functions without any pulmonary symptoms, comparing it with that of 50 subjects with stable BA, 50 subjects with simple CB and 40 subjects with AR, and further examined the effect of endoscopic sinus surgery in 7 CS subjects with BH. The BH to MCh was measured in terms of the minimum dose (Dmin), defined as the cumulative dose at the point where respiratory conductance began to decrease. A Dmin <50 units was defined as BH. Seventy-one percent of CS subjects showed BH without relation to the severity or duration of CS, or atopic status. BH in CS subjects, which was less than that in BA subjects, was similar to that in simple CB or AR in both its prevalence and degree. After the surgical treatment of CS, BH significantly decreased (p < 0.01) with improvements in both nasal symptoms and sinus lesions. These findings suggest that CS itself induces BH to a degree similar to simple CB and AR without any relationship to the clinical background, and that adequate treatment of CS reduces BH.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Methacholine Bronchial Hyperresponsiveness inChronic Sinusitis

Okayama

Iijima²,

Shimura³

et al. 1998

Respiration

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“…Radiological studies have shown abnormal sinus radiographs in 53% [2,3] and mucosal thickening on sinus computed tomography (CT) scans in 74% [4] of patients with asthma. Recently, .84% of CT scans were found to be abnormal in severe asthma, with a correlation between the extent of CT changes, sputum eosinophilia and pulmonary function [5].…”

mentioning

confidence: 99%

Treatment of chronic rhinosinusitis and its effects on asthma

Ragab

Scadding²,

Lund³

et al. 2006

Eur Respir J

145

100

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The effects of rhinosinusitis treatment upon asthma are disputed.The first randomised prospective study of surgical compared with medical therapy of chronic rhinosinusitis in 90 patients with and without nasal polyps was previously reported. Asthma symptoms, control, forced expiratory volume in one second (FEV1), peak flow, exhaled nitric oxide, medication use and hospitalisation at 6 and 12 months from the start of the study were also monitored. This paper reports these results in 43 of those patients with concomitant asthma.Both medical and surgical treatment of chronic rhinosinusitis were associated with subjective and objective improvements in asthma. Overall asthma control improved significantly following both treatment modalities, but was better maintained after medical therapy, where improvement could also be demonstrated in the subgroup with nasal polyps. Medicine was superior to surgery with respect to a decrease in exhaled nitric oxide and increase in FEV1 in the polyp patients. Two patients noted worsening of asthma post-operatively.Improvement in upper airway symptoms, as assessed using a visual analogue scale, correlated with improvement in asthma symptoms and control. Treatment of chronic rhinosinusitis, medical or surgical, benefits concomitant asthma; that associated with nasal polyposis benefits more from medical therapy.KEYWORDS: Asthma, chronic rhinosinusitis, endoscopic sinus surgery, exhaled nitric oxide, forced expiratory volume in one second, nasal polyps R hinosinusitis coexisted with asthma in 34% of patients in one study [1]. Radiological studies have shown abnormal sinus radiographs in 53% [2,3] and mucosal thickening on sinus computed tomography (CT) scans in 74% [4] of patients with asthma. Recently, .84% of CT scans were found to be abnormal in severe asthma, with a correlation between the extent of CT changes, sputum eosinophilia and pulmonary function [5].A number of authors have investigated the effect of surgical treatment of rhinosinusitis upon asthma, with improvement [6-8], worsening [9, 10] and equivocal effect [11,12] being reported. Only two studies of medical chronic rhinosinusitis (CRS) treatment exist, one included four medical patients [13], whereas the other considered CRS with polyposis alone and was nonrandomised [14]. MATERIALS AND METHODSPatients were recruited over 2 yrs from the Rhinology Clinics of the Royal National Throat, Nose and Ear Hospital (London, UK). The study was approved by the Ethics Committee of the Royal Free Hospital (London, UK). After application of exclusion criteria, the study was discussed with 327 consecutive patients with a primary diagnosis of CRS. Of these, 90 patients who agreed to the process of randomisation were finally included and were randomised equally into the medical and surgical groups. The study design and flow chart showing the course of the study are presented in figures 1 and 2, respectively. Diagnosis of CRS was based on the criteria described by the Staging and Therapy Group [15]. The criteria for diagnosis of...

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“…En plus, jusqu'à 80 à 90% des enfants et des adolescents souffrant d'asthme ont également le symptôme nasal, et la moitié des patients souffrant d'asthme ont preuve d'imagerie de la sinusite [1]. Le résultat des études précédentes on montrées que la prévalence de la sinusite chronique a été aussi élevée que 40 à 60% chez les enfants atteints de l'asthme [2,3]. En Taiwan, 10,4% des enfants ont l'asthme [4] et la moitié d'entre eux ont également concomitante sinusite [5].…”

Section: Editorialunclassified

Asthma and chronic sinusitis: one disease for two organs

2016

JFVP

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EDITORIALLa sinusite chronique est souvent associée à l'asthme. Elle est présente dans la quasi-totalité des patients présentant des symptômes de l'asthme. L'association fréquente de l'asthme et la sinusite a été noté depuis plusieurs années. Il y a environ 50% des personnes atteintes d'asthme modéré ou sévère ont aussi une sinusite chronique. En plus, jusqu'à 80 à 90% des enfants et des adolescents souffrant d'asthme ont également le symptôme nasal, et la moitié des patients souffrant d'asthme ont preuve d'imagerie de la sinusite [1]. Le résultat des études précédentes on montrées que la prévalence de la sinusite chronique a été aussi élevée que 40 à 60% chez les enfants atteints de l'asthme [2,3]. En Taiwan, 10,4% des enfants ont l'asthme [4] et la moitié d'entre eux ont également concomitante sinusite [5]. La forte prévalence de l'association entre l'asthme et la sinusite peut être due à l'état inflammation de l'ensemble des muqueuses respiratoires chez les terrains allergiques qui sont souvent retrouvés dans cette population. Comme dans l'asthme, la sinusite peut être déclencher par des allergènes ou des infections. Les déclencheurs courants de la sinusite sont: une infection virale ou bactérienne, la pollution atmosphérique et la fumée de la cigarette, les pneumallergènes, l'air froid ou sec.De nombreuses études ont montré un lien entre les infections des sinus et l'asthme. Les patients asthmatiques ayant la concomitante sinusite ont tendance à avoir des symptômes plus sévères d'asthme, peuvent avoir des crises d'asthme plus sévère et sont plus susceptibles d'avoir des troubles du sommeil.Cependant, les risques de développer une sinusite peuvent ne pas être la même pour tous les patients asthmatiques. L'association de la sinusite à l'asthme est plus fréquente chez les femmes que les hommes et plus fréquente chez les européens que les autres groupes raciaux. De plus, le reflux gastrooesophagien (RGO) et le tabagisme peuvent accroître le risque de développer la sinusite chez le sujet asthmatique. Chez les personnes atteintes d'asthme sévère, la sinusite semble aggraver les symptômes d'asthme et les rend difficile à contrôler. Pourtant, certains cliniciens considèrent que la sinusite est un problème banal et n'a pas besoin d'être traité de façon spécifique en dehors du traitement spécifique de la rhinite allergique associée. Dans le numéro 20 du JFVP 2016, Gagara Issoufou et collaborateurs [6] ont montré que la fréquence de l'association de l'asthme et de la sinusite chronique retrouvée sur le nombre total des consultants chez 117 patients asthmatiques durant la période de 6 mois (Décembre 2013 -Mai 2014) était de 10,2%. Il s'agissait d'une étude prospective, transversale et descriptive à la Clinique Médicale Lacouroussou (CML) et à l'Hôpital National de Lamordé (HNL) et au niveau de la consultation pneumo-allergologique. Les auteurs ont montré qu'au moment de la consultation, 87% des patients n'avaient pas un traitement de fond, expliqué par une méconnaissance du traitement de fond par des professionnels de l...

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Maxillary sinusitis and bronchial asthma: Correlation of roentgenograms, cultures, and thermograms

Cited by 59 publications

References 20 publications

Methacholine Bronchial Hyperresponsiveness inChronic Sinusitis

Methacholine Bronchial Hyperresponsiveness inChronic Sinusitis

Treatment of chronic rhinosinusitis and its effects on asthma

Asthma and chronic sinusitis: one disease for two organs

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