Rhinosinusitis: A Guide for Diagnosis and Management PDF
Preview Rhinosinusitis: A Guide for Diagnosis and Management
Rhinosinusitis Erica R. Thaler David W. Kennedy • Editors Rhinosinusitis A Guide for Diagnosis and Management 123 Editors EricaR.Thaler,MD DavidW.Kennedy,MD AssociateProfessor Professor DepartmentofOtorhinolaryngology-Head DepartmentofOtorhinolaryngology-Head andNeckSurgery andNeckSurgery UniversityofPennsylvania UniversityofPennsylvania Philadelphia,PA,USA Philadelphia,PA,USA [email protected] [email protected] ISBN:978-0-387-73061-5 e-ISBN:978-0-387-73062-2 DOI:10.1007/978-0-387-73062-2 LibraryofCongressControlNumber:2008935646 (cid:2)c 2008SpringerScience+BusinessMedia,LLC Allrightsreserved.Thisworkmaynotbetranslatedorcopiedinwholeorinpartwithoutthewritten permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY10013,USA),exceptforbriefexcerptsinconnectionwithreviewsorscholarlyanalysis.Usein connectionwithanyformofinformationstorageandretrieval,electronicadaptation,computersoftware, orbysimilarordissimilarmethodologynowknownorhereafterdevelopedisforbidden. 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Erica Preface Sinusitis and rhinitis are ubiquitous medical problems, comprising a set of conditionsmostcommonlytodaydescribedtogetherunderthetermrhinosinusitis, thatoccupyasignificantportionoftimeinmanyoutpatientcareproviders’offices, beitpediatrician,familypractitioner,internist,primarycareprovider,orotolaryn- gologist.Indeed,rhinosinusitisisoneofthemostcommonofallhealthcarecom- plaints,reportedtobepresentchronicallyinfully14%oftheAmericanpopulation. Chronicrhinosinusitishasalsobeenshowntohaveamuchgreaterimpactonoverall quality of life than previously recognized and is indeed a potentially debilitating disorder.Becauserhinosinusitisismanagedbysuchawidevarietyofpractitioners, thereisalackofcohesivenessinpatientcareandmuchcontradictoryliteratureabout thebestapproachtopatientmanagement.Additionally,thechronicformofrhinosi- nusitiscanbeanenormouslydifficultproblemtomanage,withunder-treatmentand over-treatmentofpatientsbothequallypossibletoleadtopooroutcomes. Thisbookaimstoprovideaunifyingguidetothediagnosisandmanagementof thiscomplexhealthcareproblem.Itcoverstheentirewidthandbreadthofrhinos- inusitis, from etiology and pathophysiology, to diagnosis, to medical and surgical management, both pediatric and adult. In recognition of the ever increasing role of alternative medicine in our health care management, there is a special chapter devoted to this topic. Systemic contributions to the disease process are discussed, and there is a chapter on what is frequently referred to as the unified airway, the special relationship between rhinosinusitis and pulmonary pathology, particularly asthma. Wehopethisbookprovidespractitionerswithausefultoolinthecareofpatients with rhinosinusitis. The assembled authors represent true experts in the condition, with a wealth of clinical and basic science experience to bring to bear on their writings. EricaR.Thaler,M.D. DavidW.Kennedy,M.D. vii Contents 1 EtiologyandImpactofRhinosinusitis ............................ 1 WalleedAbuzaidandEricaR.Thaler 2 MicrobiologyandImmunologyofRhinosinusitis................... 17 JeanAndersonEloyandSatishGovindaraj 3 Diagnosis and Management ofAcuteRhinosinusitis.......................................... 29 KarenA.Ko¨llnandBrentA.Senior 4 DiagnosisofChronicRhinosinusitis .............................. 41 RodneyJ.SchlosserandRichardJ.Harvey 5 MedicalManagementofAcuteRhinosinusitis ..................... 65 RichardR.Orlandi 6 MedicalManagementofChronicRhinosinusitis ................... 75 RakeshK.Chandra 7 EndoscopicSinusSurgery ....................................... 93 DavidW.Kennedy 8 AllergyandRhinosinusitis.......................................107 JohnH.Krouse 9 Complementary and Alternative Medicine inRhinology ...................................................133 MarceloB.Antunes,EdwinTamashiro,andNoamA.Cohen 10 Radiology:ItsDiagnosticUsefulnessinRhinosinusitis ..............145 LaurieA.Loevner ix x Contents 11 SystemicDiseasesandChronicRhinosinusitis .....................165 ChristineReger,ChristinaF.Herrera,MeganAbbott, andAlexanderG.Chiu 12 Reactive Airway Disease and the Management ofSamter’sTriad...............................................187 RoxanneS.Leung,RohitK.Katial,andToddT.Kingdom 13 PediatricPerspectivesofRhinosinusitis ...........................205 LisaEldenandLawrenceW.C.Tom 14 SpectrumofFungalSinusitis ....................................223 KevinC.WelchandJamesN.Palmer 15 ComplicationsofRhinosinusitis..................................239 BenjaminS.BleierandEricaR.Thaler 16 AdjunctiveSurgicalTherapiesintheTreatmentofRhinosinusitis....251 JoelGussandEricaR.Thaler Index .............................................................265 Contributors MeganAbbott,MSN,CRNP DepartmentofOtorhinolaryngology,UniversityofPennsylvania, Philadelphia,PA,USA WalleedAbuzaid,BSc(Hons),MBBS(Dist) Department of Otorhinolaryngology – Head and Neck Surgery, University ofPennsylvania,Philadelphia,PA,USA MarceloB.Antunes,MD Department of Otorhinolaryngology – Head and Neck Surgery, University ofPennsylvania,Philadelphia,PA,USA BenjaminS.Bleier,MD Department of Otorhinolaryngology – Head and Neck Surgery, University ofPennsylvania,Philadelphia,PA,USA RakeshK.Chandra,MD Assistant Professor, Department of Otolaryngology – Head and Neck Surgery, NorthwesternUniversityFeinbergSchoolofMedicine,Chicago,IL,USA AlexanderG.Chiu,MD AssistantProfessor,DepartmentofOtorhinolaryngology,Universityof Pennsylvania,Philadelphia,PA,USA NoamA.Cohen,MD,PhD AssistantProfessor,DepartmentofOtorhinolaryngology–HeadandNeckSurgery, UniversityofPennsylvania,Philadelphia,PA,USA LisaElden,MS,MD AssistantProfessor,DepartmentofOtorhinolaryngology,HeadandNeckSurgery, University of Pennsylvania School of Medicine, The Children’s Hospital of Philadelphia,Philadelphia,PA,USA JeanAndersonEloy,MD RhinologyandSkullBaseSurgeryFellow,DepartmentofOtolaryngology,Head and Neck Surgery, University of Miami – Jackson Memorial Hospital, Miami, FL,USA xi xii Contributors SatishGovindaraj,MD Department of Otolaryngology, Head and Neck Surgery, Mount Sinai School ofMedicine,NewYork,NY,USA JoelGuss,MD Department of Otorhinolaryngology, Head and Neck Surgery, University ofPennsylvania,Philadelphia,PA,USA RichardJ.Harvey,BSc(med)MBBSFRACS DepartmentofOtolaryngology,MedicalUniversityofSouthCarolina,Charleston, SC,USA ChristinaF.Herrera,MSN,CRNP DepartmentofOtorhinolaryngology,HospitaloftheUniversityofPennsylvania, Philadelphia,PA,USA RohitK.Katial,MD AssociateProfessorofMedicine,DepartmentofMedicine,DivisionofAllergy andImmunology,NationalJewishMedicalandResearchCenter,Denver,CO,USA DavidW.Kennedy,MD Professor, Department of Otorhinolaryngology – Head and Neck Surgery, UniversityofPennsylvaniaMedicalCenter,Philadelphia,PA,USA ToddT.Kingdom,MD DepartmentofOtolaryngology,UniversityofColoradoHealthSciencesCenter, Aurora,CO,USA KarenA.Ko¨lln,MD Chief,Rhinology,AllergyandSinusSurgery,DepartmentofOtorhinolaryngology– HeadandNeckSurgery,UniversityofNorthCarolinaatChapelHill,ChapelHill, NC,USA JohnH.Krouse,MD,PhD Professor and Vice Chair, Director of Rhinology and Allergy, Department ofOtolaryngology,WayneStateUniversity,Detroit,MI,USA LaurieA.Loevner,MD Professor,DepartmentsofRadiologyandOtorhinolaryngology–HeadandNeck Surgery,UniversityofPennsylvania,Philadelphia,PA,USA RoxanneS.Leung,MD AllergyandImmunologyFellow,DepartmentofMedicine,DivisionofAllergy andImmunology,NationalJewishMedicalandResearchCenter,Denver,CO,USA RichardR.Orlandi,MD Associate Professor, Division of Otolaryngology – Head and Neck Surgery, UniversityofUtahSchoolofMedicine,SaltLakeCity,UT,USA Contributors xiii JamesN.Palmer,MD Department of Otorhinolaryngology – Head and Neck Surgery, University of PennsylvaniaHealthSystem,Philadelphia,PA,USA ChristineReger,MSN,CRNP Department of Otorhinolaryngology, University of Pennsylvania, Philadelphia, PA,USA RodneyJ.Schlosser,MD DepartmentofOtolaryngology,MedicalUniversityofSouthCarolina,Charleston, SC,USA BrentA.Senior,MD DepartmentofOtorhinolaryngology–HeadandNeckSurgery,UniversityofNorth CarolinaatChapelHill,ChapelHill,NC,USA EdwinTamashiro,MD Affiliated Otorhinolaryngologist, Faculty of Medicine of Ribeira˜o Preto, Department of Ophthalmology, Otorhinolaryngology, Head and Neck Surgery, UniversityofSa˜oPaulo,Sa˜oPaulo,Brazil EricaR.Thaler,MD Department of Otorhinolaryngology – Head and Neck Surgery, University of Pennsylvania,Philadelphia,PA,USA LawrenceW.C.Tom,MD AssociateProfessor,DepartmentofOtorhinolaryngology,HeadandNeckSurgery, UniversityofPennsylvaniaSchoolofMedicine,TheChildren’sHospital ofPhiladelphia,Philadelphia,PA,USA KevinC.Welch,MD Department of Otorhinolaryngology – Head and Neck Surgery, University of PennsylvaniaHealthSystem,Philadelphia,PA,19104,USA
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