Skip to main content
Log in

Chronic Rhino-Sinusitis and Asthma: Concept of Unified Airway Disease (UAD) and its Impact in Otolaryngology

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Krouse JH, Brown RW, Fineman SM et al (2007) Asthma and the unified airway. Otolaryngol Head Neck Surg 136:S75–S106

    Article  PubMed  Google Scholar 

  2. Corren J (1997) Allergic rhinitis and asthma: how important is the link. J Allergy Clin Immunol 99:S781–S786

    Article  PubMed  CAS  Google Scholar 

  3. 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

    Article  PubMed  CAS  Google Scholar 

  4. 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

    Article  PubMed  Google Scholar 

  5. Annesi-Maesaano I (1999) Epidemiological evidence of the occurence of rhinitis and sinusitis in asthmatics. Allergy 54:7–13

    Article  Google Scholar 

  6. Hamilos D (2000) Chronic sinusitis. J Allergy Clin Immunol 106:213–227

    Article  PubMed  CAS  Google Scholar 

  7. Senior B, Kennedy DW, Tanabodee J (1999) Long-term impact of functional endoscopic sinus surgery on asthma. Allergy 57:136–140

    Google Scholar 

  8. Gutman M, Torres A, Keen KJ et al (2004) Prevalence of allergy in patients with chronic rhinosinusitis. Otolaryngol Head Neck Surg 130:545–552

    Article  PubMed  Google Scholar 

  9. 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

  10. 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

    Article  PubMed  Google Scholar 

  11. 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

    Article  Google Scholar 

  12. lamanske RF, Busse WW (2003) Asthma. J Allergy Clin Immunol 111:S502–S519

    Article  Google Scholar 

  13. 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

    Article  PubMed  Google Scholar 

  14. 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

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rakesh Singh Meena.

Rights and permissions

Reprints 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

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-012-0495-8

Keywords

Navigation