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Rhinosinusitis and Asthma in Children

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Abstract

The upper and lower respiratory tracts may be considered as a single morphological and functional unit. Physiologically, the role of the upper airway includes the protection of the lower airway by conditioning the inhaled air through filtration, humidification, and warming. There is growing evidence that inflammatory diseases of the airway, such as allergic rhinitis, chronic rhinosinusitis (CRS), and bronchial asthma, are manifestations of the same or similar pathological processes but in different parts of the respiratory tract. These diseases frequently have the same triggers: aeroallergens, aspirin, other nonsteroidal anti-inflammatory drugs (NSAIDs), irritants, and viral and bacterial infections. The concept of a “unified airway” has been proposed as an integrated term to cover the relationship between the upper and lower airways as well as their mutual effects on each other.

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References

  1. Akinbami LJ, Simon AE, Rossen LM. Changing trends in asthma prevalence among children. Pediatrics. 2016;137(1):e20152354.

    Article  Google Scholar 

  2. Zahran HS, Bailey CM, Damon SA, Garbe PL, Breysse PN. Vital signs: asthma in children - United States, 2001-2016. MMWR Morb Mortal Wkly Rep. 2018;67(5):149–55.

    Article  Google Scholar 

  3. Meltzer EO, Blaiss MS, Derebery MJ, Mahr TA, Gordon BR, Sheth KK, et al. Burden of allergic rhinitis: results from the pediatric allergies in America survey. J Allergy Clin Immunol. 2009;124(3. Suppl):S43–70.

    Article  Google Scholar 

  4. Gilani S, Shin JJ. The burden and visit prevalence of pediatric chronic rhinosinusitis. Otolaryngol Head Neck Surg. 2017;157(6):1048–52.

    Article  Google Scholar 

  5. Chow AW, Benninger MS, Brook I, Brozek JL, Goldstein EJC, Hicks LA, et al. IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults. Clin Infect Dis. 2012;54(8):e72–112.

    Article  Google Scholar 

  6. Wald ER, Applegate KE, Bordley C, Darrow DH, Glode MP, Marcy SM, et al. Clinical practice guideline for the diagnosis and management of acute bacterial sinusitis in children aged 1 to 18 years. Pediatrics. 2013;132(1):e262–80.

    Article  Google Scholar 

  7. Brietzke SE, Shin JJ, Choi S, Lee JT, Parikh SR, Pena M, et al. Clinical consensus statement: pediatric chronic rhinosinusitis. Otolaryngol Head Neck Surg. 2014;151(4):542–53.

    Article  Google Scholar 

  8. Ramadan HH. Chronic rhinosinusitis in children. Int J Pediatr. 2012;2012:573942.

    Article  Google Scholar 

  9. Phipps CD, Wood WE, Gibson WS, Cochran WJ. Gastroesophageal reflux contributing to chronic sinus disease in children: a prospective analysis. Arch Otolaryngol Head Neck Surg. 2000;126(7):831–6.

    Article  CAS  Google Scholar 

  10. Pearce MS, Salotti JA, Little MP, McHugh K, Lee C, Kim KP, et al. Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study. Lancet. 2012;380(9840):499–505.

    Article  Google Scholar 

  11. Sedaghat AR, Gray ST, Kieff DA. In response to preapproval of sinus computed tomography for otolaryngologic evaluation of chronic rhinosinusitis does not save health care costs. Laryngoscope. 2014;124(12):E471–2.

    Article  Google Scholar 

  12. Neff L, Adil EA. What is the role of the adenoid in pediatric chronic rhinosinusitis? Laryngoscope. 2015;125(6):1282–3.

    Article  Google Scholar 

  13. Ciprandi G, Caimmi D, Miraglia Del Giudice M, La Rosa M, Salpietro C, Marseglia GL. Recent developments in United airways disease. Allergy Asthma Immunol Res. 2012;4(4):171–7.

    Article  CAS  Google Scholar 

  14. Mirabelli MC, Hsu J, Gower WA. Comorbidities of asthma in U.S. children. Respir Med. 2016;116:34–40.

    Article  Google Scholar 

  15. Braman SS, Barrows AA, DeCotiis BA, Settipane GA, Corrao WM. Airway hyperresponsiveness in allergic rhinitis. A risk factor for asthma. Chest. 1987;91(5):671–4.

    Article  CAS  Google Scholar 

  16. Simons FE. Allergic rhinobronchitis: the asthma-allergic rhinitis link. J Allergy Clin Immunol. 1999;104(3 Pt 1):534–40.

    Article  CAS  Google Scholar 

  17. Ciprandi G, Cirillo I. The lower airway pathology of rhinitis. J Allergy Clin Immunol. 2006;118(5):1105–9.

    Article  Google Scholar 

  18. Sedaghat AR, Gray ST, Chambers KJ, Wilke CO, Caradonna DS. Sinonasal anatomic variants and asthma are associated with faster development of chronic rhinosinusitis in patients with allergic rhinitis. Int Forum Allergy Rhinol. 2013;3(9):755–61.

    Article  Google Scholar 

  19. Sedaghat AR, Gray ST, Wilke CO, Caradonna DS. Risk factors for development of chronic rhinosinusitis in patients with allergic rhinitis. Int Forum Allergy Rhinol. 2012;2(5):370–5.

    Article  Google Scholar 

  20. Sedaghat AR, Phipatanakul W, Cunningham MJ. Atopy and the development of chronic rhinosinusitis in children with allergic rhinitis. J Allergy Clin Immunol Pract. 2013;1(6):689–691.e1-2.

    Article  Google Scholar 

  21. Sedaghat AR, Phipatanakul W, Cunningham MJ. Prevalence of and associations with allergic rhinitis in children with chronic rhinosinusitis. Int J Pediatr Otorhinolaryngol. 2014;78(2):343–7.

    Article  Google Scholar 

  22. Kuiper JR, Hirsch AG, Bandeen-Roche K, Sundaresan AS, Tan BK, Schleimer RP, et al. Prevalence, severity, and risk factors for acute exacerbations of nasal and sinus symptoms by chronic rhinosinusitis status. Allergy. 2018;73(6):1244–53.

    Article  CAS  Google Scholar 

  23. Dougherty RH, Fahy JV. Acute exacerbations of asthma: epidemiology, biology and the exacerbation-prone phenotype. Clin Exp Allergy. 2009;39(2):193–202.

    Article  CAS  Google Scholar 

  24. Banoub RG, Phillips KM, Hoehle LP, Caradonna DS, Gray ST, Sedaghat AR. Relationship between chronic rhinosinusitis exacerbation frequency and asthma control. Laryngoscope. 2017;128(5):1033–8.

    Article  Google Scholar 

  25. Phillips KM, Bergmark RW, Hoehle LP, Caradonna DS, Gray ST, Sedaghat AR. Chronic rhinosinusitis exacerbations are differentially associated with lost productivity based on asthma status. Rhinology. 2018;56(4):323–9.

    CAS  PubMed  Google Scholar 

  26. Jarvis D, Newson R, Lotvall J, Hastan D, Tomassen P, Keil T, et al. Asthma in adults and its association with chronic rhinosinusitis: the GA2LEN survey in Europe. Allergy. 2012;67(1):91–8.

    Article  CAS  Google Scholar 

  27. Ivanova JI, Bergman R, Birnbaum HG, Colice GL, Silverman RA, McLaurin K. Effect of asthma exacerbations on health care costs among asthmatic patients with moderate and severe persistent asthma. J Allergy Clin Immunol. 2012;129(5):1229–35.

    Article  Google Scholar 

  28. Bhattacharyya N, Kepnes LJ. Additional disease burden from hay fever and sinusitis accompanying asthma. Ann Otol Rhinol Laryngol. 2009;118(9):651–5.

    Article  Google Scholar 

  29. Bresciani M, Paradis L, Des Roches A, Vernhet H, Vachier I, Godard P, et al. Rhinosinusitis in severe asthma. J Allergy Clin Immunol. 2001;107(1):73–80.

    Article  CAS  Google Scholar 

  30. Sahay S, Gera K, Bhargava SK, Shah A. Occurrence and impact of sinusitis in patients with asthma and/or allergic rhinitis. J Asthma. 2016;53(6):635–43.

    Article  CAS  Google Scholar 

  31. Phillips KM, Hoehle LP, Caradonna DS, Gray ST, Sedaghat AR. Association of severity of chronic rhinosinusitis with degree of comorbid asthma control. Ann Allergy Asthma Immunol. 2016;117(6):651–4.

    Article  Google Scholar 

  32. Phillips KM, Hoehle LP, Bergmark RW, Campbell AP, Caradonna DS, Gray ST, et al. Chronic rhinosinusitis severity is associated with need for asthma-related systemic corticosteroids. Rhinology. 2017;55(3):211–7.

    Article  CAS  Google Scholar 

  33. Campbell AP, Hoehle LP, Phillips KM, Caradonna DS, Gray ST, Sedaghat AR. Symptom control in chronic rhinosinusitis is an independent predictor of productivity loss. Eur Ann Otorhinolaryngol Head Neck Dis. 2018;135(4):237–41.

    Article  CAS  Google Scholar 

  34. Pearlman AN, Chandra RK, Chang D, Conley DB, Tripathi-Peters A, Grammer LC, et al. Relationships between severity of chronic rhinosinusitis and nasal polyposis, asthma, and atopy. Am J Rhinol Allergy. 2009;23(2):145–8.

    Article  Google Scholar 

  35. Hoehle LP, Phillips KM, Caradonna DS, Gray ST, Sedaghat AR. A contemporary analysis of clinical and demographic factors of chronic rhinosinusitis patients and their association with disease severity. Ir J Med Sci. 2018;187(1):215–21.

    Article  CAS  Google Scholar 

  36. Braunstahl GJ, Kleinjan A, Overbeek SE, Prins JB, Hoogsteden HC, Fokkens WJ. Segmental bronchial provocation induces nasal inflammation in allergic rhinitis patients. Am J Respir Crit Care Med. 2000;161(6):2051–7.

    Article  CAS  Google Scholar 

  37. Leonardi S, Vitaliti G, Marseglia GL, et al. Function of the airway epithelium in asthma. J Biol Regul Homeost Agents. 2012;26:S41–8.

    CAS  PubMed  Google Scholar 

  38. Soyka MB, Wawrzyniak P, Eiwegger T, Holzmann D, Treis A, Wanke K, et al. Defective epithelial barrier in chronic rhinosinusitis: the regulation of tight junctions by IFN-γ and IL-4. J Allergy Clin Immunol. 2012;130(5):1087–96.e10.

    Article  CAS  Google Scholar 

  39. Sajjan U, Wang Q, Zhao Y, Gruenert DC, Hershenson MB. Rhinovirus disrupts the barrier function of polarized airway epithelial cells. Am J Respir Crit Care Med. 2008;178(12):1271–81.

    Article  CAS  Google Scholar 

  40. Slavin RG. Asthma and sinusitis. J Allergy Clin Immunol. 1992;90:534–7.

    Article  CAS  Google Scholar 

  41. Anfuso A, Ramadan H, Terrell A, Demirdag Y, Walton C, Skoner DP, et al. Sinus and adenoid inflammation in children with chronic rhinosinusitis and asthma. Ann Allergy Asthma Immunol. 2015;114(2):103–10.

    Article  Google Scholar 

  42. Brozek JL, Bousquet J, Baena-Cagnani CE, Bonini S, Canonica GW, Casale TB, et al. Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines: 2010 revision. J Allergy Clin Immunol. 2010;126(3):466–76.

    Article  Google Scholar 

  43. Watson WT, Becker AB, Simons FE. Treatment of allergic rhinitis with intranasal corticosteroids in patients with mild asthma: effect on lower airway responsiveness. J Allergy Clin Immunol. 1993;91(1 Pt 1):97–101.

    Article  CAS  Google Scholar 

  44. Kieff DA, Busaba NY. Efficacy of montelukast in the treatment of nasal polyposis. Ann Otol Rhinol Laryngol. 2005;114(12):941–5.

    Article  Google Scholar 

  45. Chelladurai Y, Suarez-Cuervo C, Erekosima N, Kim JM, Ramanathan M, Segal JB, et al. Effectiveness of subcutaneous versus sublingual immunotherapy for the treatment of allergic rhinoconjunctivitis and asthma: a systematic review. J Allergy Clin Immunol Pract. 2013;1(4):361–9.

    Article  Google Scholar 

  46. DeYoung K, Wentzel JL, Schlosser RJ, Nguyen SA, Soler ZM. Systematic review of immunotherapy for chronic rhinosinusitis. Am J Rhinol Allergy. 2014;28(2):145–50.

    Article  Google Scholar 

  47. Brehm JM, Schuemann B, Fuhlbrigge AL, Hollis BW, Strunk RC, Zeiger RS, et al. Serum vitamin D levels and severe asthma exacerbations in the Childhood Asthma Management Program study. J Allergy Clin Immunol. 2010;126(1):52–8.e5.

    Article  CAS  Google Scholar 

  48. Wu AC, Tantisira K, Li L, Fuhlbrigge AL, Weiss ST, Litonjua A, et al. Effect of vitamin D and inhaled corticosteroid treatment on lung function in children. Am J Respir Crit Care Med. 2012;186(6):508–13.

    Article  CAS  Google Scholar 

  49. Castro M, King TS, Kunselman SJ, Cabana MD, Denlinger L, Holguin F, et al. Effect of vitamin D3 on asthma treatment failures in adults with symptomatic asthma and lower vitamin D levels: the VIDA randomized clinical trial. JAMA. 2014;311(20):2083–91.

    Article  Google Scholar 

  50. Jiao J, King TS, McKenzie M, Bacharier LB, Dixon AE, Codispoti CD, et al. Vitamin D3 therapy in patients with asthma complicated by sinonasal disease: secondary analysis of the vitamin D add-on therapy enhances corticosteroid responsiveness in asthma trial. J Allergy Clin Immunol. 2016;138(2):589–92.e2.

    Article  CAS  Google Scholar 

  51. Ramadan HH, Cost JL. Outcome of adenoidectomy versus adenoidectomy with maxillary sinus wash for chronic rhinosinusitis in children. Laryngoscope. 2008;118(5):871–3.

    Article  Google Scholar 

  52. Schlosser RJ, Smith TL, Mace J, Soler ZM. Asthma quality of life and control after sinus surgery in patients with chronic rhinosinusitis. Allergy. 2017;72(3):483–91.

    Article  CAS  Google Scholar 

  53. Vashishta R, Soler ZM, Nguyen SA, Schlosser RJ. A systematic review and meta-analysis of asthma outcomes following endoscopic sinus surgery for chronic rhinosinusitis. Int Forum Allergy Rhinol. 2013;3(10):788–94.

    Article  Google Scholar 

  54. Ehnhage A, Olsson P, Kölbeck K-G, Skedinger M, Stjärne P, NAFS Study Group. One year after endoscopic sinus surgery in polyposis: asthma, olfaction, and quality-of-life outcomes. Otolaryngol Head Neck Surg. 2012;146(5):834–41.

    Article  Google Scholar 

  55. Samter M, Beers RF. Intolerance to aspirin. Clinical studies and consideration of its pathogenesis. Ann Intern Med. 1968;68(5):975–83.

    Article  CAS  Google Scholar 

  56. Nabavi M, Esmaeilzadeh H, Arshi S, Bemanian MH, Fallahpour M, Bahrami A, et al. Aspirin hypersensitivity in patients with chronic rhinosinusitis and nasal polyposis: frequency and contributing factors. Am J Rhinol Allergy. 2014;28(3):239–43.

    Article  Google Scholar 

  57. Christie PE, Smith CM, Lee TH. The potent and selective sulfidopeptide leukotriene antagonist, SK&F 104353, inhibits aspirin-induced asthma. Am Rev Respir Dis. 1991;144(4):957–8.

    Article  CAS  Google Scholar 

  58. Porcaro F, Di Marco A, Cutrera R. Omalizumab in patient with aspirin exacerbated respiratory disease and chronic idiopathic urticaria. Pediatr Pulmonol. 2017;52(5):E26–8.

    Article  Google Scholar 

  59. Katial RK, Strand M, Prasertsuntarasai T, Leung R, Zheng W, Alam R. The effect of aspirin desensitization on novel biomarkers in aspirin-exacerbated respiratory diseases. J Allergy Clin Immunol. 2010;126(4):738–44.

    Article  CAS  Google Scholar 

  60. Lam K, Kern RC, Luong A. Is there a future for biologics in the management of chronic rhinosinusitis? Int Forum Allergy Rhinol. 2016;6(9):935–42.

    Article  Google Scholar 

  61. Gevaert P, Calus L, Van Zele T, Blomme K, De Ruyck N, Bauters W, et al. Omalizumab is effective in allergic and nonallergic patients with nasal polyps and asthma. J Allergy Clin Immunol. 2013;131(1):110–6.e1.

    Article  CAS  Google Scholar 

  62. Bel EH, Wenzel SE, Thompson PJ, Prazma CM, Keene ON, Yancey SW, et al. Oral glucocorticoid-sparing effect of mepolizumab in eosinophilic asthma. N Engl J Med. 2014;371(13):1189–97.

    Article  Google Scholar 

  63. Gevaert P, Van Bruaene N, Cattaert T, Van Steen K, Van Zele T, Acke F, et al. Mepolizumab, a humanized anti-IL-5 mAb, as a treatment option for severe nasal polyposis. J Allergy Clin Immunol. 2011;128(5):989–95.e1–8.

    Article  CAS  Google Scholar 

  64. Bachert C, Mannent L, Naclerio RM, Mullol J, Ferguson BJ, Gevaert P, et al. Effect of subcutaneous Dupilumab on Nasal Polyp Burden in patients with chronic sinusitis and nasal polyposis: a randomized clinical trial. JAMA. 2016;315(5):469–79.

    Article  CAS  Google Scholar 

  65. Laidlaw TM, Cahill KN, Cardet JC, Murphy K, Cui J, Dioneda B, et al. A trial of type 12 purinergic (P2Y12) receptor inhibition with prasugrel identifies a potentially distinct endotype of patients with aspirin-exacerbated respiratory disease. J Allergy Clin Immunol. 2018;143(1):316–24.e7.

    Article  Google Scholar 

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Disclosure Statement

All authors have no direct financial interest in subject matter or materials discussed in article or with a company making a competing product. Dr. Phipatanakul would like to acknowledge NIH funding K24 AI 106822 for research into the content described in this chapter.

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Correspondence to Wanda Phipatanakul .

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Naja, A.S., Sedaghat, A.R., Phipatanakul, W. (2020). Rhinosinusitis and Asthma in Children. In: Ramadan, H., Baroody, F. (eds) Pediatric Rhinosinusitis. Springer, Cham. https://doi.org/10.1007/978-3-030-22891-0_8

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