Rhinology

FDA approves Dupixent (dupilumab) as treatment for chronic rhinosinusitis

Chronic rhinosinusitis (CRS) is a clinical condition characterized by prolonged inflammation (more than 12 weeks) of the nose and paranasal sinuses. Signs and symptoms of sinusitis include headache, swelling of face, facial pain, nasal discharge, dizziness, and breathing difficulties. Sinusitis is caused by allergies, bacterial and viral infections and presence of nasal polyps (growths on

Its bleeding, bleeding and bleeding..

A 13-year-old male child presented to pediatric ENT unit, with chief complaints of left side nasal obstruction progressive and spontaneous nasal bleed, continuing nasal discharge since two months. intermittent episodes of headache which used to be relieved by analgesics. Past history No episodes of nasal bleeding before two months but intermittent nasal discharge. On examination

Laryngopharyngeal Reflux Scoring Systems

Laryngopharyngeal reflux (LPR) can be defined as chronic irritation of larynx caused by the abnormal backflow of gastric contents into the upper airway, mostly due to upper esophageal sphincter dysfunction. Studies have found that up to 50% of laryngeal complaints that present in the otolaryngeal clinics are associated with LPR. LPR is suspected in cases

Best practices for Safe Nasal Irrigation

Nasal irrigation, (also termed as nasal rinsing, washout, douching or lavage) is a personal hygiene practice in which a person’s nasal cavity is washed with saline water to flush out debris and mucus from the nose and nasal sinuses. Nasal douching can be performed safely by people of all ages to support daily nasal hygiene.

Role of Balloon dilatation in chronic rhinosinusitis – Clinical consensus statement 2018

Chronic rhinosinusitis (CRS) is a clinical condition characterized by inflammation of the paranasal sinuses that typically lasts beyond twelve weeks. It is caused by infections, allergies, and the presence of sinus polyps or a deviated septum. Signs and symptoms include headache, nasal discharge, swelling in the face, dizziness, and breathing difficulties. The condition is so

Staging systems for Juvenile Nasopharyngeal Angiofibroma

Juvenile nasopharyngeal angiofibroma (JNA) is an uncommon, slow-growing, benign but locally invasive vascular tumor arising from tissues in the sphenopalatine foramen inside the nasal cavity. JNAs are also reported to arise from the posterior aspect of the middle turbinate and rarely from other sites of the nasal cavity and in paranasal sinuses. JNA tumor was

CT Scan, Endoscopy or MRI – Which is the best investigation in sinusitis?

Sinusitis is one of the commonest causes of patients visit to the oto-rhino-laryngologist (ENT). Making a diagnosis of sinusitis can be challenging as it is not always clear if it is caused by a bacterial infection or by a common cold. To overcome these limitations, various investigation modalities, like endoscopy, CT scan or MRI) are available

Recent updates in guidelines for treatment of Seasonal Allergic Rhinitis

The 2017 Joint Task Force on Practice Parameters (JTFPP) comprising representatives from the American Academy of Allergy, Asthma, and Immunology (AAAAI), the American College of Allergy, Asthma, and Immunology (ACAAI), and the Joint Council of Allergy, Asthma, and Immunology has provided an update to their 2008 guidelines for treatment of seasonal allergic rhinitis (SAR) in adolescents and adults. The updated guidelines

Treatment of allergic rhinitis in pregnancy

Allergic rhinitis (AR) affects 20-30% of women in the childbearing age group with an annually increasing prevalence. The classical clinical symptoms include sneezing, itching, nasal blockage, and nasal discharge. In patients who had allergic rhinitis before, the symptoms may worsen, improve or remain the same during pregnancy.  

Empty nose syndrome

Empty nose syndrome (ENS) is a controversial clinical entity with no consensual definition. It is thought to be a postsurgical, iatrogenic (physician caused) phenomenon secondary to loss of nasal turbinate tissue. The condition was first described by Kerin & Moore in 1994. The exact incidence of this condition is unknown. Houser et al in their study