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Presbynasalis.

John M DelGaudio1,2, Nicholas J Panella3

  • 1Division of Rhinology and Sinus Surgery, Emory University, Atlanta, GA. jdelgau@emory.edu.

International Forum of Allergy & Rhinology
|June 10, 2016
PubMed
Summary
This summary is machine-generated.

The aging nose (presbynasalis) experiences changes like increased rhinorrhea and diminished olfaction due to immunosenescence. Understanding these age-related sinonasal alterations is crucial for otolaryngologists and patient care.

Keywords:
allergic rhinitisgeriatricsnasal obstructionrhinitissinusitissmell

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Area of Science:

  • Otolaryngology
  • Gerontology
  • Immunology

Background:

  • The nose and paranasal sinuses undergo age-related changes, with limited unified research since 1996.
  • Significant advancements in understanding the aging nose have occurred in recent decades.

Purpose of the Study:

  • To provide a unified description of current research on aging sinonasal structures and related conditions.
  • To propose the term 'presbynasalis' for the aging nose, sinuses, and olfactory system.

Main Methods:

  • Systematic review of English language literature published since 1996.
  • Searches conducted using PubMed and Google Scholar, focusing on sinonasal changes in the elderly.

Main Results:

  • Fifty articles were selected and categorized into allergy, rhinorrhea, mechanical/airflow changes, olfaction, and sinusitis.
  • Key findings include increased rhinorrhea, potential perception of nasal obstruction despite increased volume, and diminished olfaction.

Conclusions:

  • Age-related immune system decline (immunosenescence) affects sinonasal function.
  • Diminished olfaction may indicate neurodegenerative conditions.
  • Sinusitis treatment in the elderly is similar to younger populations, with surgery demonstrating safety when necessary.