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Rational Approach to the Patient Presenting with Chronic Rhinosinusitis

Year 2019, Volume: 11 Issue: 2, 128 - 131, 07.03.2019

Abstract

Abstrac

tChronic rhinosinusitis (CRS) is an inflammatory disorder of the nasal and paranasal sinus mucoza that lasts 12 weeks or longer. It is a heterogeneous and multifactorial disease, thus its pathogenesis is not yet fully understood especially in children. The main symptoms of disease are also frequently encountered complaints in childhood, so a detailed differential diagnosis process is required in the management of patients. Inpatients who do not respond to medical treatment, it may be necessary to investigate the relatively rare diseases and to consider surgical treatment options.

References

  • Kaynaklar 1. Heath J, Hartzell L, Putt C, Kennedy JL. Chronic Rhinosinusitisin Children: Pathophysiology, Evaluation, and Medical Manage-ment. Curr Allergy Asthma Rep 2018;18(7):37. 2. Orlandi RR, Kingdom TT, Hwang PH, Smith TL, Alt JA, BaroodyFM, et al. International Consensus Statement on Allergy and Rhi-nology: Rhinosinusitis. Int Forum Allergy Rhinol [Internet].2016;6(S1):S22–209. 3. Brietzke SE, Shin JJ, Choi S, Lee JT, Parikh SR, Pena M, et al.Clinical Consensus Statement. Otolaryngol Neck Surg2014;151(4):542–53. 4. Kucuksezer UC, Ozdemir C, Akdis M, Akdis CA. Chronic rhino-sinusitis: pathogenesis, therapy options, and more. Expert OpinPharmacother 2018;19(16):1805–15. 5. Gilani S, Shin JJ. The Burden and Visit Prevalence of Pediatric Chro-nic Rhinosinusitis. Otolaryngol Neck Surg 2017;157(6):1048–52. 6. Van Crombruggen K, Zhang N, Gevaert P, Tomassen P, BachertC. Pathogenesis of chronic rhinosinusitis: inflammation. J AllergyClin Immunol 2011;128(4):728–32. 7. Daniel L Hamilos EH. Chronic rhinosinusitis: Clinical manife-stations, pathophysiology, and diagnosis - UpToDate [Internet].2019. Availablefrom: https://www.uptodate.com/contents/chronic-rhinosinusitis-clinical-manifestations-pathophysiology-and-di-agnosis?search=chronic rhinosinusitis&source=search_result&se-lectedTitle=2~150&usage_type=default&display_rank=2 8. Lazar RH, Younis RT, Gross CW. Pediatric functional endonasalsinus surgery: review of 210 cases. Head Neck ;14(2):92–8. 9. El Sharkawy AA, Elmorsy SM, Eladl HM. Functional endosco-pic sinus surgery in children: predictive factors of outcome. EurArch Otorhinolaryngol 2012;269(1):107–11. 10. Hamilos DL. Problem-based Learning Discussion: Medical Tre-atment of Pediatric Chronic Rhinosinusitis. Am J Rhinol Allergy2016;30(2):113–21. 11. Mahdavinia M, Grammer LC. Chronic rhinosinusitis and age: isthe pathogenesis different? Expert Rev Anti Infect Ther2013;11(10):1029–40. 12. Hamilos DL. Problem-based Learning Discussion: Medical Tre-atment of Pediatric Chronic Rhinosinusitis. Am J Rhinol Allergy2016;30(2):113–21. 13. Benninger MS, Payne SC, Ferguson BJ, Hadley JA, Ahmad N. En-doscopically directed middle meatal cultures versus maxillary si-nus taps in acute bacterial maxillary rhinosinusitis: a meta-analy-sis. Otolaryngol Head Neck Surg 2006 ;134(1):3–9. 14. Kennedy JL, Borish L. Chronic sinusitis pathophysiology: the roleof allergy. Am J Rhinol Allergy 2013;27(5):367–71. 15. Jarvis D, Newson R, Lotvall J, Hastan D, Tomassen P, Keil T, etal. Asthma in adults and its association with chronic rhinosinu-sitis: the GA2LEN survey in Europe. Allergy 2012;67(1):91–8. 16. Schwitzguébel AJ-P, Jandus P, Lacroix J-S, Seebach JD, Harr T.Immunoglobulin deficiency in patients with chronic rhinosinusi-tis: Systematic review of the literature and meta-analysis. J AllergyClin Immunol 2015;136(6):1523–31. 17. Chiarella SE, Grammer LC. Immune deficiency in chronic rhino-sinusitis: screening and treatment. Expert Rev Clin Immunol2017;13(2):117–23. 18. Dykewicz MS, Rodrigues JM, Slavin RG. Allergic fungal rhino-sinusitis. J Allergy Clin Immunol 2018;142(2):341–51. 19. McClay JE, Marple B, Kapadia L, Biavati MJ, Nussenbaum B,Newcomer M, et al. Clinical presentation of allergic fungal sinu-sitis in children. Laryngoscope 2002;112(3):565–9. 20. Al-Swiahb JN, Al-Ammar A, Al-Dousary SH. Allergic fungal sinu-sitis in children in Saudi Arabia. Saudi Med J 2007;28(11):1711–4. 21. Bent JP, Kuhn FA. Diagnosis of allergic fungal sinusitis. Otolaryn-gol Head Neck Surg 1994;111(5):580–8. 22. Gevaert P, Van Bruaene N, Cattaert T, Van Steen K, Van Zele T,Acke F, et al. Mepolizumab, a humanized anti–IL-5 mAb, as a tre-atment option for severe nasal polyposis. J Allergy Clin Immunol2011 Nov;128(5):989–995.e8. 23. Gevaert P, Calus L, Van Zele T, Blomme K, De Ruyck N, BautersW, et al. Omalizumab is effective in allergic and nonallergic pa-tients with nasal polyps and asthma. J Allergy Clin Immunol [In-ternet]. 2013;131(1):110–116.e1. 24. Melzer JM, Driskill BR, Clenney TL, Gessler EM. Sublingual Im-munotherapy for Allergic Fungal Sinusitis. Ann Otol Rhinol Laryn-gol 2015;124(10):782–7. 25. Asakura K, Kojima T, Shirasaki H, Kataura A. Evaluation of theeffects of antigen specific immunotherapy on chronic sinusitis inchildren with allergy. Auris Nasus Larynx 1990;17(1):33–8. 26. Brietzke SE, Brigger MT. Adenoidectomy outcomes in pediatricrhinosinusitis: a meta-analysis. Int J Pediatr Otorhinolaryngol2008;72(10):1541–5. 27. Makary CA, Ramadan HH. The role of sinus surgery in children.Laryngoscope 2013;123(6):1348–52.

Kronik Rinosinüzit Şikayetleri İle Başvuran Hastaya Akılcı Yaklaşım

Year 2019, Volume: 11 Issue: 2, 128 - 131, 07.03.2019

Abstract

Öz

Kronik rinosinüzit burun ve paranazal sinüs mukozasının 12 hafta veya daha uzunsüren inflamatuar bir hastalığıdır. Hastalık heterojen ve multifaktöriyel bir hastalık olduğundan özellikle çocuklardaki patogenezi henüz tam olarak anlaşılamamıştır. Hastalığın ana belirtileri çocukluk çağında sıkça karşılaşılan şikayetlerdir, bu nedenle hastaların yönetiminde ayrıntılı bir ayırıcı tanı süreci gereklidir. Tıbbi tedaviye yanıt vermeyen hastalarda, nispeten nadir görülen hastalıkları araştırmak ve cerrahi tedavi seçeneklerini düşünmek gerekebilir.

References

  • Kaynaklar 1. Heath J, Hartzell L, Putt C, Kennedy JL. Chronic Rhinosinusitisin Children: Pathophysiology, Evaluation, and Medical Manage-ment. Curr Allergy Asthma Rep 2018;18(7):37. 2. Orlandi RR, Kingdom TT, Hwang PH, Smith TL, Alt JA, BaroodyFM, et al. International Consensus Statement on Allergy and Rhi-nology: Rhinosinusitis. Int Forum Allergy Rhinol [Internet].2016;6(S1):S22–209. 3. Brietzke SE, Shin JJ, Choi S, Lee JT, Parikh SR, Pena M, et al.Clinical Consensus Statement. Otolaryngol Neck Surg2014;151(4):542–53. 4. Kucuksezer UC, Ozdemir C, Akdis M, Akdis CA. Chronic rhino-sinusitis: pathogenesis, therapy options, and more. Expert OpinPharmacother 2018;19(16):1805–15. 5. Gilani S, Shin JJ. The Burden and Visit Prevalence of Pediatric Chro-nic Rhinosinusitis. Otolaryngol Neck Surg 2017;157(6):1048–52. 6. Van Crombruggen K, Zhang N, Gevaert P, Tomassen P, BachertC. Pathogenesis of chronic rhinosinusitis: inflammation. J AllergyClin Immunol 2011;128(4):728–32. 7. Daniel L Hamilos EH. Chronic rhinosinusitis: Clinical manife-stations, pathophysiology, and diagnosis - UpToDate [Internet].2019. Availablefrom: https://www.uptodate.com/contents/chronic-rhinosinusitis-clinical-manifestations-pathophysiology-and-di-agnosis?search=chronic rhinosinusitis&source=search_result&se-lectedTitle=2~150&usage_type=default&display_rank=2 8. Lazar RH, Younis RT, Gross CW. Pediatric functional endonasalsinus surgery: review of 210 cases. Head Neck ;14(2):92–8. 9. El Sharkawy AA, Elmorsy SM, Eladl HM. Functional endosco-pic sinus surgery in children: predictive factors of outcome. EurArch Otorhinolaryngol 2012;269(1):107–11. 10. Hamilos DL. Problem-based Learning Discussion: Medical Tre-atment of Pediatric Chronic Rhinosinusitis. Am J Rhinol Allergy2016;30(2):113–21. 11. Mahdavinia M, Grammer LC. Chronic rhinosinusitis and age: isthe pathogenesis different? Expert Rev Anti Infect Ther2013;11(10):1029–40. 12. Hamilos DL. Problem-based Learning Discussion: Medical Tre-atment of Pediatric Chronic Rhinosinusitis. Am J Rhinol Allergy2016;30(2):113–21. 13. Benninger MS, Payne SC, Ferguson BJ, Hadley JA, Ahmad N. En-doscopically directed middle meatal cultures versus maxillary si-nus taps in acute bacterial maxillary rhinosinusitis: a meta-analy-sis. Otolaryngol Head Neck Surg 2006 ;134(1):3–9. 14. Kennedy JL, Borish L. Chronic sinusitis pathophysiology: the roleof allergy. Am J Rhinol Allergy 2013;27(5):367–71. 15. Jarvis D, Newson R, Lotvall J, Hastan D, Tomassen P, Keil T, etal. Asthma in adults and its association with chronic rhinosinu-sitis: the GA2LEN survey in Europe. Allergy 2012;67(1):91–8. 16. Schwitzguébel AJ-P, Jandus P, Lacroix J-S, Seebach JD, Harr T.Immunoglobulin deficiency in patients with chronic rhinosinusi-tis: Systematic review of the literature and meta-analysis. J AllergyClin Immunol 2015;136(6):1523–31. 17. Chiarella SE, Grammer LC. Immune deficiency in chronic rhino-sinusitis: screening and treatment. Expert Rev Clin Immunol2017;13(2):117–23. 18. Dykewicz MS, Rodrigues JM, Slavin RG. Allergic fungal rhino-sinusitis. J Allergy Clin Immunol 2018;142(2):341–51. 19. McClay JE, Marple B, Kapadia L, Biavati MJ, Nussenbaum B,Newcomer M, et al. Clinical presentation of allergic fungal sinu-sitis in children. Laryngoscope 2002;112(3):565–9. 20. Al-Swiahb JN, Al-Ammar A, Al-Dousary SH. Allergic fungal sinu-sitis in children in Saudi Arabia. Saudi Med J 2007;28(11):1711–4. 21. Bent JP, Kuhn FA. Diagnosis of allergic fungal sinusitis. Otolaryn-gol Head Neck Surg 1994;111(5):580–8. 22. Gevaert P, Van Bruaene N, Cattaert T, Van Steen K, Van Zele T,Acke F, et al. Mepolizumab, a humanized anti–IL-5 mAb, as a tre-atment option for severe nasal polyposis. J Allergy Clin Immunol2011 Nov;128(5):989–995.e8. 23. Gevaert P, Calus L, Van Zele T, Blomme K, De Ruyck N, BautersW, et al. Omalizumab is effective in allergic and nonallergic pa-tients with nasal polyps and asthma. J Allergy Clin Immunol [In-ternet]. 2013;131(1):110–116.e1. 24. Melzer JM, Driskill BR, Clenney TL, Gessler EM. Sublingual Im-munotherapy for Allergic Fungal Sinusitis. Ann Otol Rhinol Laryn-gol 2015;124(10):782–7. 25. Asakura K, Kojima T, Shirasaki H, Kataura A. Evaluation of theeffects of antigen specific immunotherapy on chronic sinusitis inchildren with allergy. Auris Nasus Larynx 1990;17(1):33–8. 26. Brietzke SE, Brigger MT. Adenoidectomy outcomes in pediatricrhinosinusitis: a meta-analysis. Int J Pediatr Otorhinolaryngol2008;72(10):1541–5. 27. Makary CA, Ramadan HH. The role of sinus surgery in children.Laryngoscope 2013;123(6):1348–52.
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Details

Primary Language Turkish
Journal Section makale
Authors

Uzm. Dr. Fatih Dilek This is me

Publication Date March 7, 2019
Published in Issue Year 2019 Volume: 11 Issue: 2

Cite

APA Dilek, U. D. F. (2019). Kronik Rinosinüzit Şikayetleri İle Başvuran Hastaya Akılcı Yaklaşım. Klinik Tıp Pediatri Dergisi, 11(2), 128-131.
AMA Dilek UDF. Kronik Rinosinüzit Şikayetleri İle Başvuran Hastaya Akılcı Yaklaşım. Pediatri. March 2019;11(2):128-131.
Chicago Dilek, Uzm. Dr. Fatih. “Kronik Rinosinüzit Şikayetleri İle Başvuran Hastaya Akılcı Yaklaşım”. Klinik Tıp Pediatri Dergisi 11, no. 2 (March 2019): 128-31.
EndNote Dilek UDF (March 1, 2019) Kronik Rinosinüzit Şikayetleri İle Başvuran Hastaya Akılcı Yaklaşım. Klinik Tıp Pediatri Dergisi 11 2 128–131.
IEEE U. D. F. Dilek, “Kronik Rinosinüzit Şikayetleri İle Başvuran Hastaya Akılcı Yaklaşım”, Pediatri, vol. 11, no. 2, pp. 128–131, 2019.
ISNAD Dilek, Uzm. Dr. Fatih. “Kronik Rinosinüzit Şikayetleri İle Başvuran Hastaya Akılcı Yaklaşım”. Klinik Tıp Pediatri Dergisi 11/2 (March 2019), 128-131.
JAMA Dilek UDF. Kronik Rinosinüzit Şikayetleri İle Başvuran Hastaya Akılcı Yaklaşım. Pediatri. 2019;11:128–131.
MLA Dilek, Uzm. Dr. Fatih. “Kronik Rinosinüzit Şikayetleri İle Başvuran Hastaya Akılcı Yaklaşım”. Klinik Tıp Pediatri Dergisi, vol. 11, no. 2, 2019, pp. 128-31.
Vancouver Dilek UDF. Kronik Rinosinüzit Şikayetleri İle Başvuran Hastaya Akılcı Yaklaşım. Pediatri. 2019;11(2):128-31.