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Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
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[Chronic rhinosinusitisand type 2 disease].

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Global airway diseases share inflammatory mechanisms. This review summarizes current treatments for chronic rhinosinusitis (CRS), focusing on type 2 inflammation in CRS with nasal polyps (CRSwNP) and new monoclonal antibody therapies.

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Area of Science:

  • Respiratory Medicine
  • Immunology
  • Otolaryngology

Background:

  • Upper and lower airway diseases are often grouped as global airway disease due to shared inflammatory pathways.
  • Airway comorbidities are frequent, with chronic rhinosinusitis (CRS) affecting 5-12% of the population.
  • CRS is classified as CRS with nasal polyps (CRSwNP) or CRS without nasal polyps (CRSsNP), differing in inflammatory profiles.

Purpose of the Study:

  • To review current treatment modalities for global airway diseases, particularly chronic rhinosinusitis.
  • To highlight the role of type 2 inflammation in CRSwNP and the emergence of new biologic therapies.
  • To summarize the efficacy of these treatments on symptoms and quality of life.

Main Methods:

  • Literature review of current treatment strategies for chronic rhinosinusitis.
  • Focus on inflammatory mechanisms, specifically type 2 inflammation.
  • Analysis of data regarding monoclonal antibody treatments for severe CRSwNP.

Main Results:

  • CRSwNP is typically associated with type 2 inflammation, while CRSsNP often involves non-type 2 inflammation.
  • New monoclonal antibodies targeting type 2 inflammation have shown effectiveness in treating severe, refractory CRSwNP.
  • These therapies improve nasal polyps, congestion, sense of smell, and overall quality of life.

Conclusions:

  • Monoclonal antibodies represent a significant advancement in managing severe CRSwNP.
  • Understanding the distinct inflammatory profiles of CRSsNP and CRSwNP is crucial for targeted treatment.
  • Further research into airway disease management and novel therapeutic approaches is warranted.