Chronic rhinosinusitis with bronchial asthma, what should we concern about?.
10.3760/cma.j.issn.1673-0860.2016.03.018
- VernacularTitle:关注伴有支气管哮喘的慢性鼻-鼻窦炎
- Author:
Jianbo SHI
1
;
Fenghong CHEN
1
Author Information
1. Otorhinolaryngology Hospital, the First Affiliated Hospital of Sun Yatsen University, Institute of Otorhinolaryngology, the First Affiliated Hospital of Sun Yatsen University, Guangzhou 510080, China.
- Publication Type:Journal Article
- MeSH:
Asthma;
physiopathology;
therapy;
Chronic Disease;
Humans;
Inflammation;
physiopathology;
therapy;
Rhinitis;
physiopathology;
therapy;
Sinusitis;
physiopathology;
therapy
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2016;51(3):235-240
- CountryChina
- Language:Chinese
-
Abstract:
There is a strong association between chronic rhinosinusitis (CRS) and asthma. Approximately 10%-50% of CRS patients also have comorbid asthma. These patients are more likely to have severe CRS and asthma and higher recurrence rates after sinus surgery. Also there may be acute asthma attack during the perioperative period. Therefore, we should pay more attention to these patients. Assessment of the control level of asthma and pulmonary function should be performed preoperatively. And asthma needs to be fully managed in the perioperative period to avoid acute asthma attack. Extensive sinus surgery is recommended in these patients to reduce the inflammation load. Long-term medical treatment and regular follow-up are suggested to achieve well control of CRS and asthma.