Yardstick for the medical management of chronic rhinosinusitis

Borish, Larry; Baroody, Fuad M.; Kim, Margaret S.; Lieberman, Jay; Peters, Anju T.; Stevens, Whitney W.; Bernstein, Jonathan A.

doi:10.1016/j.anai.2021.10.014

Cited by 14 publications

(5 citation statements)

References 140 publications

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“…Thus, the authors suggested the need for prospective, randomized, placebo-controlled trials to confirm the specific benefits of AIT in atopic CRS [ 75 ]. A very recent systematic review by Borish et al [ 76 ] on AIT to aeroallergens for CRS identified four studies between 1983 and 2004. Two prospective trials included adults with CRSwNP and CRSsNP following surgery [ 77 , 78 ], and one studied children with CRS (polyp status not stated) without previous surgery [ 79 ].…”

Section: Resultsmentioning

confidence: 99%

The Role of Allergen-Specific Immunotherapy in ENT Diseases: A Systematic Review

Cantone

Gallo

Torretta

et al. 2022

JPM

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Previous studies have demonstrated that both subcutaneous (SCIT) and sublingual specific immunotherapy (SLIT) are effective in treating allergic rhinitis (AR). Further studies have evaluated the efficacy of allergen-specific immunotherapy (AIT) on different ear, nose, and throat (ENT) manifestations, in which allergy might have an etiopathogenetic role, such as local allergic rhinitis (LAR), rhinosinusitis (RS), otitis media (OM), and adenotonsillar (AT) disease. Nevertheless, the management of allergy in ENT diseases is still debated. To the best of our knowledge, this is the first systematic review assessing the efficacy of AIT in ENT diseases aside from AR. Literature data confirmed that AIT might be an effective therapeutic option in LAR, although its effect is restricted to studies with short-term follow-up. Furthermore, previous research demonstrated that AIT may improve symptoms and surgical outcomes of chronic rhinosinusitis when used as an adjunctive treatment. Few studies supported the hypothesis that AIT may exert positive therapeutic effects on recurrent upper airway infections as adenotonsillar disease. Finally, some clinical observations suggested that AIT may add some benefits in the management of otitis media with effusion (OME). The results of this systematic review allow us to conclude that the efficacy of AIT in ENT disorders has been only slightly investigated and additional studies are needed.

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Section: Resultsmentioning

confidence: 99%

The Role of Allergen-Specific Immunotherapy in ENT Diseases: A Systematic Review

Cantone

Gallo

Torretta

et al. 2022

JPM

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“…For example, the endoscopic presence of nasal polyposis is used to guide treatment of CRSwNP, which can differ from CRS without nasal polyps (CRSsNP). 13,14 Further classification based on the presence of co-morbidities such as asthma, 15 allergic fungal rhinosinusitis, 16 or aspirin sensitivity 17 are also used to direct management choices. While phenotypic distinctions of CRSwNP can be useful and are convenient, they do not consistently reveal the underlying inflammatory mechanisms leading to CRSwNP.…”

Section: Rationale For Endotypingmentioning

confidence: 99%

Endotyping Chronic Rhinosinusitis with Nasal Polyps: Understanding Inflammation Beyond Phenotypes

Chen

Buchheit

2023

Am J Rhinol�Allergy

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Chronic rhinosinusitis with nasal polyps (CRSwNP) is a heterogenous group of inflammatory conditions impacting the nose and paranasal sinuses. Our understanding of the underlying pathobiology of CRSwNP has substantially improved due to ongoing translational research efforts. Advances in treatment options, including targeted respiratory biologic therapy for CRSwNP, allow for more personalized approaches for CRSwNP patient care. Patients with CRSwNP are typically classified to one or more endotype based on the presence of type 1, type 2, and type 3 inflammation. This review will discuss recent advances in our understanding of CRSwNP and how this may impact current and future treatment approaches for patients with CRSwNP.

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“…As an essential adjuvant therapy after ESS, nasal irrigation has achieved specific curative effects in clinical application and has the advantage of fewer side effects. In addition to mechanical drainage to clean the postoperative nasal cavity, nasal irrigation can also reduce sinus mucosal inflammation, improve mucociliary clearance, and accelerate the recovery of sinus mucosal structure and function [12][13][14][15]. At present, postoperative nasal irrigation solutions include normal saline, hypertonic saline, normal saline with corticosteroids and (or) antibiotics, Chinese medicine liquid, etc.…”

Section: Introductionmentioning

confidence: 99%

Efficacy and safety of traditional Chinese medicine nasal irrigation on chronic rhinosinusitis recovery after endoscopic sinus surgery: A protocol for a systematic review and meta-analysis

Yang

Sun²,

Xiang³

et al. 2022

PLoS ONE

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Background Continuous comprehensive treatment is still needed after endoscopic sinus surgery (ESS) for chronic rhinosinusitis (CRS) to promote the recovery of sinus mucosal morphology and function. Traditional Chinese medicine (TCM) nasal irrigation is a promising external treatment of TCM, but at present, the application of TCM nasal irrigation after ESS for CRS has not been recommended by the guidelines. Therefore, this article aims to develop a systematic overview and meta-analysis protocol to assess the effectiveness and safety of Chinese herbal nasal rinse for CRS recovery after ESS. Methods Seven databases shall be retrieved from their inception until December 2021. Eligible randomized controlled trials will be covered in the study. The outcome indicators of the survey will consist of efficacy, visual analogue scale score, Lund-Kennedy score for nasal endoscopy, Lund-Mackay score for sinus computed tomography and other secondary outcome indicators. The selection of literature, extraction of data, and methodological quality evaluation of literature shall be conducted by two researchers separately. If there is any dispute, it can be discussed and solved by a third researcher. Review Manager 5.3 software will be applied to data analysis. Results The article will make a detailed research programme to explore the efficacy and safety of TCM nasal irrigation on CRS recovery after ESS. Conclusion This protocol is suitable for evaluating the effectiveness and safety of TCM nasal rinse for CRS recovery after ESS, and can provide corresponding evidence-based medical evidence. Systematic review registration Open Science Framework Registration DOI: 10.17605/OSF.IO/ZV73Q.

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Yardstick for the medical management of chronic rhinosinusitis

Cited by 14 publications

References 140 publications

The Role of Allergen-Specific Immunotherapy in ENT Diseases: A Systematic Review

The Role of Allergen-Specific Immunotherapy in ENT Diseases: A Systematic Review

Endotyping Chronic Rhinosinusitis with Nasal Polyps: Understanding Inflammation Beyond Phenotypes

Efficacy and safety of traditional Chinese medicine nasal irrigation on chronic rhinosinusitis recovery after endoscopic sinus surgery: A protocol for a systematic review and meta-analysis

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