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Moiseeva Yu.P.

FSBEI DPE 'Russian Medical Academy of Continuing Professional Education' of the Ministry of Health of the Russia, Moscow, Russia

Piskunov G.Z.

Kafedra bolezneĭ ukha, gorla, nosa RMAPO, Moskva

Dynamic monitoring of patients with chronic rhinosinusitis with nasal polyps

Authors:

Moiseeva Yu.P., Piskunov G.Z.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2020;85(2): 58‑62

DOI: 10.17116/otorino20208502158

Views: 1654

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To cite this article:

Moiseeva YuP, Piskunov GZ. Dynamic monitoring of patients with chronic rhinosinusitis with nasal polyps. Russian Bulletin of Otorhinolaryngology. 2020;85(2):58‑62. (In Russ.)
https://doi.org/10.17116/otorino20208502158

Подписка 2025 (Russian Bulletin of Otorhinolaryngology)
 
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In connection with the prevalence and tendency to relapse, chronic rhinosinusitis with nasal polyps is an urgent problem not only for otorhinolaryngologists, but also for specialists whose therapeutic activity is somehow related to the respiratory system. Based on clinical observations, 5 phenotypes of this pathology were identified, each of which requires an individual approach to treatment and prevention. As a rule, the first stage is functional endoscopic rhinosinus surgery, the volume of which is determined depending on the phenotype. But even with a carefully performed operation, the result of surgical treatment may be unsatisfactory if there was no adequate care in the early inpatient and outpatient periods. This paper highlights the features of dynamic monitoring of patients with different phenotypes of chronic rhinosinusitis with nasal polyps.

Keywords:

chronic rhinosinusitis with nasal polyps
phenotype
dynamic observation
postoperative care

Authors:

Moiseeva Yu.P.

FSBEI DPE 'Russian Medical Academy of Continuing Professional Education' of the Ministry of Health of the Russia, Moscow, Russia

Piskunov G.Z.

Kafedra bolezneĭ ukha, gorla, nosa RMAPO, Moskva

List of references:

  1. Klinicheskie rekomendatsii Natsionalnogo soglasitel’nogo komiteta «Polipoznyj rinosinusit». M. 2010:22. (In Russ.)
  2. Polipoznyj rinosinusit. Klinicheskie rekomendatsii. Natsional’naya assotsiatsiya otorinolaringologov. M. 2016:21. (In Russ.)
  3. Piskunov GZ, Piskunov SZ. Klinicheskaya rinologiya. 3-e izdanie, dopolnennoe. M.: Meditsinskoe informatsionnoe agentstvo; 2017:750. (In Russ.)
  4. Piskunov GZ. Funktsional’naya endoskopicheskaya rinosinusokhirurgiya: uchebnoe posobie. M.: RMAPO; 2009:74. (In Russ.)
  5. Duerson W, Lafer M, Ahmed O, Bandler I, Wang B, Lieberman S, et al. Health Care Disparities in Patients Undergoing Endoscopic Sinus Surgery for Chronic Rhinosinusitis: Differences in Disease Presentation and Access to Care. Ann Otol Rhinol Laryngol. 2019 Mar 4:3489419834947. https://doi.org/10.1177/0003489419834947
  6. Eloy P, Andrews P, Poirrier AL. Postoperative care in endoscopic sinus surgery: a critical review. Curr Opin Otolaryngol Head Neck Surg. 2017 Feb;25(1):35-42. https://doi.org/10.1097/MOO.0000000000000332
  7. Pelishenko TG, Piskunov GZ. Vosstanovleniye slizistoj obolochki polosti nosa posle endoskopicheskoj rinosinusokhirurgii. Sb.: Sovremennye problemy zabolevanij verkhnikh dykhatel’nykh putej i ukha: tez. dokl. M. 2002:250-251. (In Russ.)
  8. Haxel BR, Clemens M, Karaiskaki N, Dippold U, Kettern L, Mann WJ. Controlled trial for long-term low-dose erythromycin after sinus surgery for chronic rhinosinusitis. Laryngoscope. 2015 May;125(5):1048-55. https://doi.org/10.1002/lary.25052
  9. Varvyanskaya AV, Lopatin AS. The effectiveness of long-term treatment of polypous rhinosinusitis with low doses of macrolides. Vestnik otorinolaringologii. 2013;78(5):22-27. (In Russ.)
  10. Fandiño M, Macdonald KI, Lee J, Witterick IJ. The use of postoperative topical corticosteroids in chronic rhinosinusitis with nasal polyps: a systematic review and meta-analysis. Am J Rhinol Allergy. 2013 Sept-Oct;27(5):e146-e157. https://doi.org/10.2500/ajra.2013.27.3950
  11. Giotakis AI, Karow EM, Scheithauer MO, Weber R, Riechelmann H. Saline irrigations following sinus surgery — a controlled, single blinded, randomized trial. Rhinology. 2016 Dec 1;54(4):302-310. https://doi.org/10.4193/Rhin16.026
  12. Muminov AI, Pluzhnikov MS, Ryazantsev SV. Polipoznye rinosinusity. Tashkent: Meditsina UzSSR; 1990:151. (In Russ.)

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