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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KeAi Communications Co., Ltd.
2020
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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 |
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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 |
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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 |
_version_ |
1718378541803896832 |