Section:
Actual
Experience of the center for diagnosis and treatment of chronic rhinosinusitis with nasal polyps
V. I. Egorov (1), O. M. Kurbacheva (2), E. L. Savlevich (3), K. N. Shachnev (1), M. E. Dyneva (2), E. Yu. Savushkina (1), A. K. Kondakov (4)
(1) Vladimirsky Moscow Regional Research Clinical Institute, Moscow, 129110, Russia
(2) National Research Center Institute of Immunology of the Federal Medical Biological Agency (FMBA) of Russia, Moscow, 115522, Russia
(3) Central State Medical Academy of Department for Presidential Affairs of the Russian Federation, Moscow, 121359, Russia
(4) Central Clinical Hospital of the Russian Academy of Sciences, Moscow, 117593, Russia
UDK: 616.211-006.5
DOI: https://doi.org/10.18692/1810-4800-2020-6-8-15
ABSTRACT
Polypous rhinosinusitis (PRS) ranks as one of the most important chronic inflammatory ENT diseases that significantly impair the quality of life. Today, it is known that chronic rhinosinusitis with nasal polyps (CRSwNP) is a multifactorial heterogeneous disease characterized by chronic inflammation of the mucosa of the nasal cavity and paranasal sinuses, leading to the growth of polyps. The interrelation of CRSwNP, atopy and bronchial asthma (BA), their pathogenetic mechanisms, as well as the effect on the severity of the course and the frequency of each other’s relapses, are the subject of study. Data on the role of allergy in CRSwNP are controversial, while the relationship between PRS and BA is not in doubt. Patients suffering from CRSwNP and BA and / or allergic rhinitis (AR) require dynamic monitoring and regular correction of treatment not only by an otorhinolaryngologist, but also by an allergist-immunologist. To this end, since 2016, in Vladimirsky Moscow Regional Research Clinical Institute the Moscow Regional Center for Diagnosis and Treatment of Polypous Rhinosinusitis and Allergic Rhinitis was established, which monitored and treated patients with ARS and comorbid diseases from various medical institutions of the Moscow region. By using a multidisciplinary approach during our work from 2016 to 2020, we managed to achieve a stable remission in most patients, significantly improve their quality of life and reduce the number of surgical interventions.
Publication date:
08.12.2020
Keywords:
polypous rhinosinusitis, bronchial asthma, atopy, allergic rhinitis, center for the diagnosis and treatment of polypous rhinosinusitis.
For citation:
Egorov V. I., Kurbacheva O. M., Savlevich E. L., Shachnev K. N., Dyneva M. E., Savushkina E. Yu., Kondakov A. K. Experience of the center for diagnosis and treatment of chronic rhinosinusitis with nasal polyps. Rossiiskaya otorinolaringologiya. 2020;19(6):8–15. https://doi.org/10.18692/1810-4800-2020-6-8-15