Abstract
The aim of our study is to understand the concept of unified airway disease, to know the advantage of this concept in the diagnosis and treatment of allergic rhinitis, chronic rhino-sinusitis and asthma, to know its impact on practice of otolaryngologists, to motivate the otorhinolaryngologist to apply this concept in diagnosis and treatment. This article is based on our experience on (20 cases) chronic rhino-sinusitis and asthma, and observations and results from various literatures. Implement of the concept of unified airway disease and ability to translate its principles into successful diagnostic and treatment strategies can enhance the practice of otolaryngology. The end result is the potential for improved patient care. In our study 80% cases have reduced frequency of symptoms and all (100%) cases having improved night time symptoms thus the use of short-acting beta2 agonist to control the asthma symptoms decreases.
References
Krouse JH, Brown RW, Fineman SM et al (2007) Asthma and the unified airway. Otolaryngol Head Neck Surg 136:S75–S106
Corren J (1997) Allergic rhinitis and asthma: how important is the link. J Allergy Clin Immunol 99:S781–S786
Huovinen E, Kaprio J, Laitinen LA et al (1999) Incidence and prevalence of asthma among adult Finnish men and women of the Finnish twin cohort from 1975 to 1990, and their relation to hay fever and chronic bronchitis. Chest 115:928–936
Guerra S, Sherrill DL, Martinez FD et al (2002) Rhinitis as an independent risk factor for adult-onset asthma. J Allergy Clin Immunol 109:419–425
Annesi-Maesaano I (1999) Epidemiological evidence of the occurence of rhinitis and sinusitis in asthmatics. Allergy 54:7–13
Hamilos D (2000) Chronic sinusitis. J Allergy Clin Immunol 106:213–227
Senior B, Kennedy DW, Tanabodee J (1999) Long-term impact of functional endoscopic sinus surgery on asthma. Allergy 57:136–140
Gutman M, Torres A, Keen KJ et al (2004) Prevalence of allergy in patients with chronic rhinosinusitis. Otolaryngol Head Neck Surg 130:545–552
National Asthma Education and Prevention Program (NAEPP). National Heart, Lung, and Blood Institute (1991) Guidelines for the diagnosis and management of asthma. National Asthma Education Program, expert panel report. J Allergy Clin Immunol 88:425–534
Benninger MS, Ferguson BJ, Hadley JA et al (2003) Adult chronic rhinosinusitis: definitions, diagnosis, epidemiology, and pathophysiology. Otolaryngol Head Neck Surg 129(3 Suppl):S1–S32
Bachert C, Vignola M, Gavaert P et al (2004) Allergic rhinitis, rhinosinusitis, and asthma: one airway disease. Immunol Allergy Clin N Am 24:19–43
lamanske RF, Busse WW (2003) Asthma. J Allergy Clin Immunol 111:S502–S519
Batra P, Kern R, Tripathi A et al (2003) Outcome analysis of endoscopic sinus surgery in patients with nasal polyps and asthma. Laryngoscope 113:1703–1706
Stelmach R, do Patrocinio T, Nunes M et al (2005) Effect of treating allergic rhinitis with corticosteroids in patients with mild to moderate persistent asthma. Chest 128:3140–3147
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Meena, R.S., Meena, D., Aseri, Y. et al. Chronic Rhino-Sinusitis and Asthma: Concept of Unified Airway Disease (UAD) and its Impact in Otolaryngology. Indian J Otolaryngol Head Neck Surg 65 (Suppl 2), 338–342 (2013). https://doi.org/10.1007/s12070-012-0495-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12070-012-0495-8