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European position paper on rhinosinusitis and nasal polyps 2007.
Rhinol Suppl 2007; 20:1-136RS

Abstract

Rhinosinusitis is a significant and increasing health problem which results in a large financial burden on society. This evidence based position paper describes what is known about rhinosinusitis and nasal polyps, offers evidence based recommendations on diagnosis and treatment, and considers how we can make progress with research in this area. Rhinitis and sinusitis usually coexist and are concurrent in most individuals; thus, the correct terminology is now rhinosinusitis. Rhinosinusitis (including nasal polyps) is defined as inflammation of the nose and the paranasal sinuses characterised by two or more symptoms, one of which should be either nasal blockage/obstruction/congestion or nasal discharge (anterior/posterior nasal drip), +/- facial pain/pressure, +/- reduction or loss of smell; and either endoscopic signs of polyps and/or mucopurulent discharge primarily from middle meatus and/or; oedema/mucosal obstruction primarily in middle meatus, and/or CT changes showing mucosal changes within the ostiomeatal complex and/or sinuses. The paper gives different definitions for epidemiology, first line and second line treatment and for research. Furthermore the paper describes the anatomy and (patho)physiology, epidemiology and predisposing factors, inflammatory mechanisms, evidence based diagnosis, medical and surgical treatment in acute and chronic rhinosinusitis and nasal polyposis in adults and children. Evidence based schemes for diagnosis and treatment are given for the first and second line clinicians. Moreover attention is given to complications and socio-economic cost of chronic rhinosinusitis and nasal polyps. Last but not least the relation to the lower airways is discussed.

Authors+Show Affiliations

Department of Otorhinolaryngology, Amsterdam Medical Centre, P.O. box 22660, 1100 DD Amsterdam, The Netherlands. w.j.fokkens@amc.nlNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

17844873

Citation

Fokkens, Wytske, et al. "European Position Paper On Rhinosinusitis and Nasal Polyps 2007." Rhinology. Supplement, vol. 20, 2007, pp. 1-136.
Fokkens W, Lund V, Mullol J, et al. European position paper on rhinosinusitis and nasal polyps 2007. Rhinol Suppl. 2007;20:1-136.
Fokkens, W., Lund, V., & Mullol, J. (2007). European position paper on rhinosinusitis and nasal polyps 2007. Rhinology. Supplement, 20, pp. 1-136.
Fokkens W, et al. European Position Paper On Rhinosinusitis and Nasal Polyps 2007. Rhinol Suppl. 2007;20:1-136. PubMed PMID: 17844873.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - European position paper on rhinosinusitis and nasal polyps 2007. AU - Fokkens,Wytske, AU - Lund,Valerie, AU - Mullol,Joaquim, AU - ,, PY - 2007/9/12/pubmed PY - 2007/10/19/medline PY - 2007/9/12/entrez SP - 1 EP - 136 JF - Rhinology. Supplement JO - Rhinol. Suppl. VL - 20 N2 - Rhinosinusitis is a significant and increasing health problem which results in a large financial burden on society. This evidence based position paper describes what is known about rhinosinusitis and nasal polyps, offers evidence based recommendations on diagnosis and treatment, and considers how we can make progress with research in this area. Rhinitis and sinusitis usually coexist and are concurrent in most individuals; thus, the correct terminology is now rhinosinusitis. Rhinosinusitis (including nasal polyps) is defined as inflammation of the nose and the paranasal sinuses characterised by two or more symptoms, one of which should be either nasal blockage/obstruction/congestion or nasal discharge (anterior/posterior nasal drip), +/- facial pain/pressure, +/- reduction or loss of smell; and either endoscopic signs of polyps and/or mucopurulent discharge primarily from middle meatus and/or; oedema/mucosal obstruction primarily in middle meatus, and/or CT changes showing mucosal changes within the ostiomeatal complex and/or sinuses. The paper gives different definitions for epidemiology, first line and second line treatment and for research. Furthermore the paper describes the anatomy and (patho)physiology, epidemiology and predisposing factors, inflammatory mechanisms, evidence based diagnosis, medical and surgical treatment in acute and chronic rhinosinusitis and nasal polyposis in adults and children. Evidence based schemes for diagnosis and treatment are given for the first and second line clinicians. Moreover attention is given to complications and socio-economic cost of chronic rhinosinusitis and nasal polyps. Last but not least the relation to the lower airways is discussed. SN - 1013-0047 UR - https://www.unboundmedicine.com/medline/citation/17844873/European_position_paper_on_rhinosinusitis_and_nasal_polyps_2007_ L2 - http://www.rhinologyjournal.com/Documents/Supplements/supplement_20.pdf DB - PRIME DP - Unbound Medicine ER -