Evidence-based approach to medical and surgical treatment of nasal polyposis

Accreditation/Provider Statements and Credit Designation: The American Academy of Allergy, Asthma & Immunology (AAAAI) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Other parts of the medical history fo...

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Veröffentlicht in:Journal of allergy and clinical immunology 2013-12, Vol.132 (6), p.1461-1462.e6
Hauptverfasser: Naclerio, Robert M., MD, Pinto, Jayant, MD, Baroody, Fuad, MD
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container_end_page 1462.e6
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container_title Journal of allergy and clinical immunology
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creator Naclerio, Robert M., MD
Pinto, Jayant, MD
Baroody, Fuad, MD
description Accreditation/Provider Statements and Credit Designation: The American Academy of Allergy, Asthma & Immunology (AAAAI) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Other parts of the medical history for this patient included obstructive sleep apnea on continuous positive airway pressure (CPAP), but recently, she has been unable to tolerate CPAP because of worsening nasal congestion. Patients who are candidates for aspirin desensitization include those with uncontrolled nasal polyp disease requiring more than 1 operative intervention (we recall that this was our patient's first surgery), those with repeated systemic corticosteroid bursts, or those receiving continuous systemic corticosteroids.E3 Although this has not been studied, patients are thought to do better if the desensitization shortly follows sinus surgery that debulks the nasal polyps and reduces the inflammatory load.
doi_str_mv 10.1016/j.jaci.2013.10.017
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Psychology ; Fundamental immunology ; Headaches ; Humans ; Medical History Taking ; Medical sciences ; Middle Aged ; Nasal Polyps - diagnosis ; Nasal Polyps - surgery ; Nasal Polyps - therapy ; Nose ; Paranasal Sinuses - diagnostic imaging ; Paranasal Sinuses - pathology ; Paranasal Sinuses - surgery ; Patients ; Physicians ; Practice Guidelines as Topic ; Quality of Life ; Respiratory diseases ; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. 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Patients who are candidates for aspirin desensitization include those with uncontrolled nasal polyp disease requiring more than 1 operative intervention (we recall that this was our patient's first surgery), those with repeated systemic corticosteroid bursts, or those receiving continuous systemic corticosteroids.E3 Although this has not been studied, patients are thought to do better if the desensitization shortly follows sinus surgery that debulks the nasal polyps and reduces the inflammatory load.</description><subject>Accreditation</subject><subject>Adrenal Cortex Hormones - therapeutic use</subject><subject>Allergies</subject><subject>Allergy and Immunology</subject><subject>Antibiotics</subject><subject>Aspirin</subject><subject>Biological and medical sciences</subject><subject>Drug Resistance</subject><subject>Endoscopy</subject><subject>Evidence-Based Medicine</subject><subject>Family medical history</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Fundamental immunology</subject><subject>Headaches</subject><subject>Humans</subject><subject>Medical History Taking</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nasal Polyps - diagnosis</subject><subject>Nasal Polyps - surgery</subject><subject>Nasal Polyps - therapy</subject><subject>Nose</subject><subject>Paranasal Sinuses - diagnostic imaging</subject><subject>Paranasal Sinuses - pathology</subject><subject>Paranasal Sinuses - surgery</subject><subject>Patients</subject><subject>Physicians</subject><subject>Practice Guidelines as Topic</subject><subject>Quality of Life</subject><subject>Respiratory diseases</subject><subject>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. 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subjects Accreditation
Adrenal Cortex Hormones - therapeutic use
Allergies
Allergy and Immunology
Antibiotics
Aspirin
Biological and medical sciences
Drug Resistance
Endoscopy
Evidence-Based Medicine
Family medical history
Female
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Headaches
Humans
Medical History Taking
Medical sciences
Middle Aged
Nasal Polyps - diagnosis
Nasal Polyps - surgery
Nasal Polyps - therapy
Nose
Paranasal Sinuses - diagnostic imaging
Paranasal Sinuses - pathology
Paranasal Sinuses - surgery
Patients
Physicians
Practice Guidelines as Topic
Quality of Life
Respiratory diseases
Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
Sinuses
Sinusitis - diagnosis
Sinusitis - surgery
Sinusitis - therapy
Sleep
Sleep apnea
Surgery
Tomography, X-Ray Computed
Weight control
title Evidence-based approach to medical and surgical treatment of nasal polyposis
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