The Rationale for Multidisciplinary Management of Chronic Rhinosinusitis with Nasal Polyposis

Both surgical and medical therapies are used for disease control, but the disease is commonly refractory to such treatment.1,2 The authors believe that subjects with CRSwNP, especially those who have severe nasal polyposis or early recurrence after surgery, multiple surgeries, or who receive repeated courses of a systemic glucocorticosteroid, are most likely to benefit from a multidisciplinary approach by allergists/immunologists and otolaryngologists. [...]they can perform biopsies and endoscopic-directed cultures and help rule out mucociliary disease. [...]they can perform a detailed evaluation of the computed tomography scan to identify reasons for suboptimal outcomes.