Przewlekłe zapalenie zatok obocznych nosa: spojrzenie alergologa i laryngologa

Chronic rhinosinusitis (CRS) is an inflammatory disorder which affects mucosa of nasal cavity and sinuses and lasts for at least 12-week duration. Many studies exploring association between allergy and CRS have been conducted. The most frequent allergic diseases which co-exist with CRS are asthma, allergic rhinitis and aspirin intolerance. Appropriate therapy of CRS should include both severity of symptoms and histopathologic characteristics. Initial treatment should relay on pharmacological control of symptoms using intranasal steroids, local irrigations and systemic antibiotics. Surgical interventions are usually performed whenever initial therapy fails. Despite appropriate therapy symptoms of CRS tend to recur. Therefore patients with CRS should be systematically evaluated by allergists and laryngologists. New pharmacological options including biologics may allow for more effective treatment.