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Overview of the Medical Management of Chronic Rhinosinusitis

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Practical Medical and Surgical Management of Chronic Rhinosinusitis

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Abstract

Rather than a single disease, chronic rhinosinusitis (CRS) should be thought of as a syndrome resulting from variety of disease processes and underlying etiologies. Accordingly there is no one single medical management for all patients. However, medical management is the cornerstone of the management of the majority of uncomplicated CRS, and surgery is largely an adjunct to the overall management of the syndrome when medical therapy does not control the disease process. Accordingly, it is important to carefully evaluate the patient for the underlying factors involved in the disease process and to tailor the medical therapy appropriately, based on both patient symptomatology and also endoscopic examination. In addition to briefly reviewing some of the underlying predisposing causes of CRS, this chapter will focus on both the potential topical and systemic managements of this disorder and present the evidence for efficacy of these therapies based upon previously published studies.

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Author information

Authors and Affiliations

  1. Division of Otolaryngology – Head and Neck Surgery, Southern Illinois University School of Medicine, 301 N. 8th Street, Springfield, IL, 62704, USA

    Dana L. Crosby MD

  2. Department of Otorhinolaryngology – Head and Neck Surgery, Perelman School of Medicine, University of Pennsylvania, 3400 Spruce St., Ravdin 5, Philadelphia, PA, 19104, USA

    David W. Kennedy FACS, FRCSI, MD

Authors
  1. Dana L. Crosby MD
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  2. David W. Kennedy FACS, FRCSI, MD
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Correspondence to David W. Kennedy FACS, FRCSI, MD .

Editor information

Editors and Affiliations

  1. Department of Otorhinolaryngology Head and Neck Surgery, Rush Center for Skull Base and Pituitary Surgery, Rush University Medical Center, Chicago, Illinois, USA

    Pete S. Batra

  2. Department of Otolaryngology and Head & Neck Surgery, Eastern Virginia Medical School, Norfolk, Virginia, USA

    Joseph K. Han

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Crosby, D.L., Kennedy, D.W. (2015). Overview of the Medical Management of Chronic Rhinosinusitis. In: Batra, P., Han, J. (eds) Practical Medical and Surgical Management of Chronic Rhinosinusitis. Springer, Cham. https://doi.org/10.1007/978-3-319-16724-4_11

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  • DOI: https://doi.org/10.1007/978-3-319-16724-4_11

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-16723-7

  • Online ISBN: 978-3-319-16724-4

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