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Contemporary practice patterns for chronic rhinosinusitis with nasal polyps.

Noel F Ayoub1, Firas Sbeih1, Benjamin S Bleier1

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International Forum of Allergy & Rhinology
|June 27, 2024
PubMed
Summary

Otolaryngologists largely follow clinical guidelines for chronic rhinosinusitis with nasal polyps. Off-label nasal steroid irrigations and dupilumab are common treatments for managing patient symptoms.

Keywords:
biologic therapychronic rhinosinusitisintranasal steroidsnasal polyps

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Area of Science:

  • Otolaryngology
  • Medical Practice Patterns
  • Pharmacotherapy

Background:

  • Limited data exists on current management strategies for chronic rhinosinusitis with nasal polyps (CRSwNP).
  • Understanding physician practice patterns is crucial for optimizing patient care and treatment guidelines.

Purpose of the Study:

  • To investigate contemporary practice patterns in CRSwNP management among otolaryngologists.
  • To identify frequently used medications for symptom control in CRSwNP patients.

Main Methods:

  • A survey-based study was conducted among otolaryngologists.
  • Data collected focused on medication use and adherence to clinical consensus statements for CRSwNP.

Main Results:

  • Contemporary practice patterns for CRSwNP align with published clinical consensus statements.
  • Off-label nasal steroid irrigations are frequently used as topical therapy.
  • Dupilumab is the most common systemic therapy for CRSwNP.

Conclusions:

  • Physician practices for CRSwNP are largely consistent with established guidelines.
  • Nasal steroid irrigations and dupilumab represent key therapeutic options in current CRSwNP management.