Appropriate extent of surgery for aspirin-exacerbated respiratory disease

The current literature lacks strong guidelines regarding surgical management of patients with aspirin-exacerbated respiratory disease (AERD), who present with the clinical triad of chronic rhinosinusitis with nasal polyposis (CRSwNP), bronchial asthma, and aspirin/nonsteroidal anti-inflammatory drug...

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Autores principales: Ethan G. Muhonen, Khodayar Goshtasbi, Peter Papagiannopoulos, Edward C. Kuan
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Lenguaje:EN
Publicado: KeAi Communications Co., Ltd. 2020
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Acceso en línea:https://doaj.org/article/de498404dbfc42b584f72c1022d608d0
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spelling oai:doaj.org-article:de498404dbfc42b584f72c1022d608d02021-12-02T18:12:37ZAppropriate extent of surgery for aspirin-exacerbated respiratory disease2095-881110.1016/j.wjorl.2020.07.005https://doaj.org/article/de498404dbfc42b584f72c1022d608d02020-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881120301050https://doaj.org/toc/2095-8811The current literature lacks strong guidelines regarding surgical management of patients with aspirin-exacerbated respiratory disease (AERD), who present with the clinical triad of chronic rhinosinusitis with nasal polyposis (CRSwNP), bronchial asthma, and aspirin/nonsteroidal anti-inflammatory drug intolerance. To further define the effectiveness of sinus surgery in treating AERD patients, this review article discusses current evidence regarding outcomes associated with more extensive surgery, the benefits of frontal sinus surgery on polyposis, and the role of Draf III intervention. Numerous studies suggest that Draf III frontal sinusotomy may be an efficacious early intervention due to increased neo-ostial patency and subsequent distribution of topical therapies. Future studies that further investigate the efficacy and safety of extensive surgery in AERD patients are warranted.Ethan G. MuhonenKhodayar GoshtasbiPeter PapagiannopoulosEdward C. KuanKeAi Communications Co., Ltd.articleEndoscopic sinus surgeryDraf IIIAspirin exacerbated respiratory diseaseChronic sinusitisNasal polypsExtent of surgeryOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 6, Iss 4, Pp 235-240 (2020)
institution DOAJ
collection DOAJ
language EN
topic Endoscopic sinus surgery
Draf III
Aspirin exacerbated respiratory disease
Chronic sinusitis
Nasal polyps
Extent of surgery
Otorhinolaryngology
RF1-547
Surgery
RD1-811
spellingShingle Endoscopic sinus surgery
Draf III
Aspirin exacerbated respiratory disease
Chronic sinusitis
Nasal polyps
Extent of surgery
Otorhinolaryngology
RF1-547
Surgery
RD1-811
Ethan G. Muhonen
Khodayar Goshtasbi
Peter Papagiannopoulos
Edward C. Kuan
Appropriate extent of surgery for aspirin-exacerbated respiratory disease
description The current literature lacks strong guidelines regarding surgical management of patients with aspirin-exacerbated respiratory disease (AERD), who present with the clinical triad of chronic rhinosinusitis with nasal polyposis (CRSwNP), bronchial asthma, and aspirin/nonsteroidal anti-inflammatory drug intolerance. To further define the effectiveness of sinus surgery in treating AERD patients, this review article discusses current evidence regarding outcomes associated with more extensive surgery, the benefits of frontal sinus surgery on polyposis, and the role of Draf III intervention. Numerous studies suggest that Draf III frontal sinusotomy may be an efficacious early intervention due to increased neo-ostial patency and subsequent distribution of topical therapies. Future studies that further investigate the efficacy and safety of extensive surgery in AERD patients are warranted.
format article
author Ethan G. Muhonen
Khodayar Goshtasbi
Peter Papagiannopoulos
Edward C. Kuan
author_facet Ethan G. Muhonen
Khodayar Goshtasbi
Peter Papagiannopoulos
Edward C. Kuan
author_sort Ethan G. Muhonen
title Appropriate extent of surgery for aspirin-exacerbated respiratory disease
title_short Appropriate extent of surgery for aspirin-exacerbated respiratory disease
title_full Appropriate extent of surgery for aspirin-exacerbated respiratory disease
title_fullStr Appropriate extent of surgery for aspirin-exacerbated respiratory disease
title_full_unstemmed Appropriate extent of surgery for aspirin-exacerbated respiratory disease
title_sort appropriate extent of surgery for aspirin-exacerbated respiratory disease
publisher KeAi Communications Co., Ltd.
publishDate 2020
url https://doaj.org/article/de498404dbfc42b584f72c1022d608d0
work_keys_str_mv AT ethangmuhonen appropriateextentofsurgeryforaspirinexacerbatedrespiratorydisease
AT khodayargoshtasbi appropriateextentofsurgeryforaspirinexacerbatedrespiratorydisease
AT peterpapagiannopoulos appropriateextentofsurgeryforaspirinexacerbatedrespiratorydisease
AT edwardckuan appropriateextentofsurgeryforaspirinexacerbatedrespiratorydisease
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