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Chronic Pharyngitis

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Upper respiratory tract disorders, including viral infections and allergic rhinitis, cause significant discomfort and disrupt daily life. Managing these conditions involves a variety of drugs, such as antihistamines, intranasal steroids, decongestants, antitussives, expectorants, and mucolytics. Specific examples of drugs in each category are provided.
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Chapter 4: Chronic rhinosinusitis.

Russell A Settipane, Anju T Peters, Rakesh Chandra

    American Journal of Rhinology & Allergy
    |October 13, 2017
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    This summary is machine-generated.

    Chronic rhinosinusitis (CRS) is a common nasal inflammation condition. Management focuses on symptom control with intranasal corticosteroids, saline irrigation, and antibiotics for exacerbations.

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    Area of Science:

    • Otolaryngology
    • Immunology

    Background:

    • Chronic rhinosinusitis (CRS) is a prevalent condition affecting millions.
    • It involves persistent inflammation of the nasal passages and sinuses.
    • Diagnosis requires specific symptoms and objective evidence like endoscopy or CT scans.

    Purpose of the Study:

    • To outline the definition and diagnostic criteria for CRS.
    • To review current management strategies for CRS.
    • To discuss therapeutic options for difficult-to-treat cases.

    Main Methods:

    • Literature review of evidence-based guidelines for CRS management.
    • Analysis of diagnostic criteria including symptomatology and imaging.
    • Evaluation of medical and surgical treatment options.

    Main Results:

    • CRS is characterized by inflammation lasting over 12 weeks with key symptoms like nasal blockage and discharge.
    • Maintenance therapy includes intranasal corticosteroids and saline irrigation.
    • Exacerbations may require short courses of antibiotics and oral corticosteroids.

    Conclusions:

    • CRS is generally controllable, not curable.
    • Intranasal corticosteroids and saline irrigation are cornerstone maintenance therapies.
    • Functional endoscopic sinus surgery is an option for refractory CRS cases.