#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

UPPER AIRWAY OBSTRUCTION IN RHINITIS AND RHINOSINUSITIS


Authors: MUDr. Vydrová Jitka
Authors‘ workplace: Hlasové a sluchové centrum Praha, Národní1, 110 00 Praha 1 1
Published in: Listy klinické logopedie 2020; 4(1): 13-16
Category: Main topic

Overview

Rhinosinusitis is one of the most common diseases of the upper airways. It affects more than 10 % of adults and 70 % of children. Rhinosinusitis is a frequent cause of work incapacitation. The main symptoms include nasal congestion, and persistent or recurrent nasal secretion. It may commonly cause deterioration of the olfactory sense and pain in the facial area. The duration of acute rhinosinusitis is up to 12 weeks. The disease may be protracted and may become chronic despite therapy. In childhood, acute and chronic rhinosinusitis are associated with a persistent or recurrent cough and hypertrophy of the nasopharyngeal adenoid vegetations. The diagnosis of rhinosinusitis is based on endoscopic evaluation of the nasal cavity. The therapy of acute and uncomplicated rhinosinusitis is predominantly conservative, using targeted antibiotic therapy, topical corticosteroids, decongestive and saline irrigation. Puncture and aspiration of the paranasal sinuses is not currently indicated. The therapy of chronic rhinosinusitis and rhinosinusitis complicated by nasal polyposis may involve both conservative therapy and functional endoscopic sinus surgery. The disease results in a decreased quality of life of affected patients, both children and adults.

Keywords:

Rhinitis – acute rhinosinusitis – chronic rhinosinusitis – nasal obstruction – nasal polyposis – adenoid vegetation


Sources
  1. FOKKENS, W. J., LUND, V. J., MULLOL, J., BACHERT C., ALOBID, I., BAROODY, F. et al., 2012. European Position Paper on Rhinosinusitis and Nasal Polyps 2012, Rhinology. Supplement. 23, s. 1-298.
  2. Chronic Rhinosinusitis With Nasal Polyposis: Type 2 Inflammation, 2020. Medscape, 24. 2. 2020.
  3. Dostupné z: https://reference.medscape.com/recap/922991
  4. WAHID, N. W., SMITH, R., CLARK, A., SALAM, M., PHILPOTT, C. M., 2020. The socioeconomic cost of chronic rhinosinusitis study. Rhinology. 58(2), s. 112-125. DOI: 10.4193/rhin19.424.
  5. AYAZI, S., LIPHAM, J. C., HAGEN, J. A. et al., 2009. A new technique for measurement of pharyngeal pH: normal values and discriminating pH threshold. Journal of Gastrointestinal Surgery. 13(8), s. 1422-1429.
  6. WEINER, G. J., TSUKASHIMA, R., KELLY, C. et al., 2009. Oropharyngeal pH monitoring for the detection of liquid and aerosolised supraesophageal gastric reflux. Journal of Voice. 23(4), s. 498–504.
  7. BOZEC, A., GUEVARA, N., BAILLEUX, S., CONVERSET, S., SANTINI, J., CASTILLO, L., 2004. Evaluation of rhinologic manifestations of gastro-oesophageal reflux [in French]. Revue de laryngologie – otologie – rhinologie (Bord) 125(4), s. 243-246.
  8. LUPA, M., DELGAUDIO, J. M., 2012. Evidence-based practice: reflux in sinusitis. Otolaryngologic Clinics of North America. 45(5), s. 983-992.
  9. ROSENFELD, R. M., PICCIRILLO, J. F., CHANDRASEKHAR, S. S. et al., 2015. Clinical practice guideline (update) on adult sinusitis. Otolaryngology – Head and Neck Surgery. 152(2 suppl), S1-S39.
  10. MASSOTH, L., ANDERSON, C., MCKINNEY, K. A., 2019. Asthma and Chronic Rhinosinusitis: Diagnosis and Medical Management. Medical Sciencis (Basel), 7(4), s. 53.
Labels
Clinical speech therapy General practitioner for children and adolescents

Article was published in

Clinical speech therapy (Listy klinické logopedie)

Issue 1

2020 Issue 1

Most read in this issue
Topics Journals
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#