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Asthma and Chronic Rhinosinusitis: Surgical Management and Outcomes

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Abstract

Appropriate medical therapy is the first-line management for chronic rhinosinusitis (CRS), but patients commonly fail medical therapy and become candidates for endoscopic sinus surgery (ESS) and, potentially, extended ESS. ESS with postoperative therapies such as high-volume corticosteroid irrigation has proven to be efficacious in decreasing CRS symptoms and preventing recurrence of disease. ESS is superior to continued medical therapy in the management of refractory CRS, reduces asthma symptoms and dependence on asthma medications, and facilitates aspirin desensitization for patients with aspirin-exacerbated respiratory disease (AERD). ESS is especially beneficial when comorbid depression and the total economic burden of disease are considered.

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Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology: Head and Neck Surgery, Division of Rhinology and Skull Base Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA

    Kevin Li & Viraj Patel

  2. Division of Rhinology and Skull Base Surgery, Department of Otolaryngology: Head and Neck Surgery, University of Washington, Seattle, WA, USA

    Waleed M. Abuzeid

Authors
  1. Kevin Li
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  2. Viraj Patel
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  3. Waleed M. Abuzeid
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Corresponding author

Correspondence to Waleed M. Abuzeid .

Editor information

Editors and Affiliations

  1. Otolaryngology – Head & Neck Surgery, Columbia University, New York, NY, USA

    David A. Gudis

  2. Otolaryngology - Head and Neck Surgery, Medical University of South Carolina, Charleston, SC, USA

    Rodney J. Schlosser

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Li, K., Patel, V., Abuzeid, W.M. (2020). Asthma and Chronic Rhinosinusitis: Surgical Management and Outcomes. In: Gudis, D., Schlosser, R. (eds) The Unified Airway. Springer, Cham. https://doi.org/10.1007/978-3-030-50330-7_6

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