The effect of medical treatment of sinusitis upon concomitant asthma

Scadding, Glenis

doi:10.1111/j.1398-9995.1999.tb04416.x

Cited by 10 publications

(3 citation statements)

References 22 publications

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“…For over 70 years, there has been a recognized coexistence and suspected association between asthma and sinusitis. [48][49][50] "Asthma and rhinosinusitis coexist at a higher frequency than would be expected from the prevalence of each alone in the general population." 44 The prevalence of asthma in the general population is 5% to 8%.…”

Section: The Relationship Of Rhinosinusitis and Asthmamentioning

confidence: 99%

Asthma and the unified airway

Krouse

Brown

Fineman

et al. 2007

Otolaryngol.--head neck surg.

116

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Inflammatory processes of the upper and lower airway commonly co-exist. Patients with upper respiratory illnesses such as allergic rhinitis and acute and chronic rhinosinusitis often present to both otolaryngologists and primary care physicians for treatment of their symptoms of nasal and sinus disease. These patients often have concurrent lower respiratory illnesses such as asthma that may be contributing to their overall symptoms and quality of life. Unfortunately, asthma frequently remains undiagnosed in this population. It was the objective of this paper to examine the relationship between upper respiratory illnesses such as rhinitis and rhinosinusitis and lower respiratory illnesses such as asthma, and to provide a framework for primary care and specialty physicians to approach these illnesses as a spectrum of inflammatory disease. The present manuscript was developed by a multidisciplinary workgroup sponsored by the American Academy of Otolaryngic Allergy. Health care providers in various specialties contributed to the manuscript through preparation of written materials and through participation in a panel discussion held in August 2006. Each author was tasked with reviewing a specific content area and preparing a written summary for inclusion in this final document. Respiratory inflammation commonly affects both the upper and lower respiratory tracts, often concurrently. Physicians who are treating patients with symptoms of allergic rhinitis and rhinosinusitis must be vigilant to the presence of asthma among these patients. Appropriate diagnostic methods should be used to identify individuals with concurrent respiratory illnesses, and comprehensive treatment should be instituted to reduce symptoms and improve quality of life.

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Section: The Relationship Of Rhinosinusitis and Asthmamentioning

confidence: 99%

Asthma and the unified airway

Krouse

Brown

Fineman

et al. 2007

Otolaryngol.--head neck surg.

116

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“…On the contrary, sinusitis, rhinosinusitis and/or rhinosinusal polyposis are also frequently associated with asthma (4), and several studies have shown that such upper airway diseases could worsen asthma and may contribute to asthma‐related complications (5). In addition, various studies have confirmed that rhinitis has a significant impact on health‐related quality of life and the treatment of rhinitis has been shown to some extent to be beneficial to the lower airways (6, 7). In this respect, a strategy for preventing bronchial asthma through the management of allergic rhinitis has recently been developed (8).…”

mentioning

confidence: 99%

How should nasal symptoms be investigated in asthma? A comparison of radiologic and endoscopic findings

Rahérison

Montaudon

Stoll

et al. 2004

Allergy

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“… 1 On the basis of available evidence, medical therapy for CRSwNP should begin with daily application of a topical ICS in conjunction with high-volume saline irrigation, and subsequent therapies are based on the patient’s polyp status, severity of symptoms, and/or QoL impairment. Regarding the question about how sinus surgery and medical CRSwNP treatment may modify the course of bronchial asthma, different authors 38 , 39 have concluded that the weight of evidence suggests a beneficial effect. A recent systematic review 40 analyzed the effect of upper airway intervention in the subpopulation of patients with coexisting CRSwNP and asthma and did not find marked differences between outcomes after endoscopic sinus surgery (ESS) or medical treatment with montelukast, omalizumab, or erythromycin.…”

Section: Management Challengesmentioning

confidence: 99%

Nasal polyps in patients with asthma: prevalence, impact, and management challenges

Langdon¹,

Mullol²

2016

JAA

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Patients with chronic rhinosinusitis with nasal polyps (CRSwNP) often have coexisting asthma under the concept of “United Airway Disease”, being the combination of both diseases, which is one of the most challenging phenotypes to treat. Although clinicians have recognized this difficult-to-treat phenotype for many years, it remained poorly characterized. There is increasing epidemiological evidence linking chronic rhinosinusitis and asthma, but a good understanding of the pathophysiology and the combined management is still lacking. Bronchial asthma is more prevalent in patients who suffer chronic rhinosinusitis, while asthmatic patients have a greater prevalence of CRSwNP than patients without asthma. The effect of CRSwNP treatment, whether medical or surgical, in asthma is today less controversial after some studies have shown improvement of asthma after medical and/or surgical treatment of CRSwNP. However, direct comparisons between surgical and medical treatments are limited. Further randomized clinical trials are, however, still needed to better understand the management when both asthma and CRSwNP occur together. This review aims at summarizing the prevalence, impact, and management challenges regarding both asthma and CRSwNP.

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The effect of medical treatment of sinusitis upon concomitant asthma

Cited by 10 publications

References 22 publications

Asthma and the unified airway

Asthma and the unified airway

How should nasal symptoms be investigated in asthma? A comparison of radiologic and endoscopic findings

Nasal polyps in patients with asthma: prevalence, impact, and management challenges

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