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Management strategies for recurrent acute rhinosinusitis
Jiahui Lin1,2, Ashutosh Kacker1
1Department of Otolaryngology-Head and Neck Surgery Weill Cornell Medicine New York New York U.S.A.
Laryngoscope Investigative Otolaryngology
|August 28, 2019
Summary
Management of recurrent acute rhinosinusitis (RARS) varies among otolaryngologists. Treatment strategies differ based on septal deviation and practitioner background, highlighting the complexity of RARS care.
Area of Science:
- Otolaryngology
- Rhinosinusitis Management
- Surgical Strategies
Background:
- Recurrent acute rhinosinusitis (RARS) management presents challenges with limited existing data.
- Current treatment strategies for RARS require further characterization.
Purpose of the Study:
- To characterize otolaryngologists' current treatment strategies for RARS.
- To compare management approaches for RARS with and without septal deviation (RARSsD and RARSwD).
Main Methods:
- An online survey was distributed to American Rhinologic Society members.
- The survey assessed demographics, practice characteristics, and RARS management strategies.
- Respondents included 88 practicing otolaryngologists, 41% fellowship-trained in rhinology.
Main Results:
- For RARSsD, 61% of otolaryngologists favored medical management; surgery was considered after 4-5 episodes.
- For RARSwD, 52% preferred medical management; fellowship-trained rhinologists favored limited sinus surgery with septoplasty (97%).
- Practitioners' decisions on surgical timing varied between private practice and academic settings.
Conclusions:
- RARS treatment is complex, with varied strategies among otolaryngologists.
- Differences in management may stem from training backgrounds and patient populations.
- Further research is needed to optimize RARS treatment protocols.
Keywords:
Rhinosinusitisballoon dilationchronic rhinosinusitisendoscopic sinus surgerymedical therapy of chronic rhinosinusitissinus surgeryMore Related Videos
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