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Assessing asthma in the otolaryngologist's office
Lauren J Luk1, Melissa R Rotella, Leisa J Stillman
1Department of Otolaryngology-Head and Neck Surgery, Emory University, Atlanta, Georgia, USA.
Current Opinion in Otolaryngology & Head and Neck Surgery
|February 25, 2017
Summary
Asthma diagnosis and treatment are crucial for patients with chronic cough and allergic rhinitis. Early recognition and management of asthma, alongside rhinosinusitis, significantly improve quality of life.
Area of Science:
- Otolaryngology
- Pulmonology
- Allergy Immunology
Background:
- Asthma is a common condition often comorbid with chronic rhinosinusitis and allergic rhinitis.
- Effective management of these conditions can significantly improve patient quality of life.
Purpose of the Study:
- To provide otolaryngologists and other practitioners with essential knowledge on asthma diagnosis and treatment in adults and children.
- To highlight the importance of recognizing and managing undiagnosed or poorly controlled asthma.
Main Methods:
- Review of current literature on asthma diagnosis and treatment.
- Evaluation of diagnostic markers such as fractional exhaled nitric oxide and sputum eosinophils.
- Assessment of immunotherapy modalities for allergic asthma and rhinitis.
Main Results:
- Increased fractional exhaled nitric oxide and sputum eosinophils show promise in diagnosing asthma-related chronic cough.
- Both sublingual and subcutaneous immunotherapy are effective in reducing symptoms and medication needs for allergic conditions.
- Office spirometry is a valuable tool for asthma evaluation and management.
Conclusions:
- Undiagnosed asthma is common in patients with chronic rhinosinusitis and allergic rhinitis.
- Integrated management of asthma, rhinosinusitis, and allergic rhinitis improves overall patient outcomes.
- Otolaryngologists play a key role in identifying, treating, and managing asthma to enhance patient care.
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