Related Experiment Video
Updated: Oct 19, 2025
03:40
Acupoint Catgut Embedding Therapy in Traditional Chinese Medicine for Managing Allergic Rhinitis
Published on: December 20, 2024
793
Pediatric allergic fungal rhinosinusitis: optimizing outcomes
Masanobu Suzuki1,2, James Connell1, Alkis James Psaltis1
1Department of Surgery-Otorhinolaryngology Head and Neck Surgery, Central Adelaide Local Health Network and the Department of Surgery, Faculty of Health Sciences, University of Adelaide, Adelaide, South Australia, Australia.
Current Opinion in Otolaryngology & Head and Neck Surgery
|September 21, 2021
Summary
Allergic fungal rhinosinusitis (AFRS) in children requires early diagnosis and treatment. Endoscopic sinus surgery followed by corticosteroids is the standard care for this aggressive condition.
Area of Science:
- Pediatric Otolaryngology
- Allergy and Immunology
- Rhinosinusitis Research
Background:
- Allergic fungal rhinosinusitis (AFRS) is a severe condition in children, with limited pediatric-specific reviews available.
- Pediatric AFRS shares characteristics with adult forms but presents more aggressively, including higher IgE levels and facial bone abnormalities.
Purpose of the Study:
- To review recent evidence on pediatric AFRS.
- To provide insights for optimizing treatment outcomes in children with AFRS.
Main Methods:
- Review of current pediatric literature on Allergic Fungal Rhinosinusitis.
- Analysis of clinical characteristics, diagnostic criteria, and treatment modalities.
Main Results:
- Pediatric AFRS involves nasal polyposis, fungal hypersensitivity, eosinophilic mucin, and peripheral eosinophilia.
- Diagnosis utilizes adult criteria (Bent and Kuhn's), with surgery and postoperative corticosteroids as primary treatment.
- Adjunctive therapies show potential but require further evidence.
Conclusions:
- Early diagnosis and comprehensive treatment are crucial for improving pediatric AFRS outcomes.
- Endoscopic sinus surgery to clear fungal burden and facilitate topical corticosteroids is the standard of care.
Related Concept Videos
01:16Drugs Used in Upper Respiratory Disorders: Overview
409
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.
Antihistamines (e.g., Benadryl) block histamines from binding. Histamines are chemicals released during an allergic reaction in the body. As a...
Antihistamines (e.g., Benadryl) block histamines from binding. Histamines are chemicals released during an allergic reaction in the body. As a...
409
01:17Drugs Used in Lower Respiratory Disorders: Overview
712
Lower respiratory tract disorders present challenges that often require skilled and nuanced approaches for effective management. Common ailments, such as asthma and chronic obstructive pulmonary disease (COPD), have prompted the development of intricate treatment strategies involving bronchodilators and anti-inflammatory drugs, each tailored to ease breathing and revitalize the lungs.
Bronchodilators, the first step of respiration enhancement, come in various forms, each with its own mechanism...
Bronchodilators, the first step of respiration enhancement, come in various forms, each with its own mechanism...
712
01:24Cystic Fibrosis: Management
254
Cystic fibrosis (CF) is an autosomal recessive disorder that predominantly affects individuals of Northern European descent, occurring at a rate of 1 in 3500. It is caused by a genetic mutation in a gene on chromosome 7, most commonly the ΔF508 mutation, that codes for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. This results in thicker mucus secretions and obstruction pathologies in multiple organs, including the lungs and sinuses.
Sinus disease and chronic...
Sinus disease and chronic...
254
01:26Pharmacokinetics in Pediatric Patients: Drug Excretion
37
In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
37
01:29Acute Respiratory Failure-V
238
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
238
01:20Asthma: Pathogenesis and Management
836
Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
836