Journal Reviews

American Journal of Rhinology & Allergy cover image.

When to operate on a patient without chronic disease?

2 March 2022 | | Rhinology / Sinus | SNOT-22, balloon sinus dilation, endoscopic sinus surgery, management, sinusitis

As ENT surgeons, we spend a lot of time managing chronic rhinosinusitis, so a review and update on the management of the acute disease is always helpful. The standard medical treatment of antibiotics, nasal steroids and nasal decongestants are reported...

American Journal of Otolaryngology cover image.

A new era in the treatment of recalcitrant nasal polyps?

8 November 2021 | | Laryngology / Swallowing / Voice, Rhinology / Sinus | IgE, SNOT-22, aspirin-exacerbated respiratory disease, chronic rhinosinusitis with nasal polyps, mild asthma, nasal polyps, omalizumab, quality of life, tissue eosinophilia, total nasal endoscopic polyp score

Chronic rhinosinusitis with nasal polyps (CRSwNP) can be difficult to treat effectively in patients with aggressive or recalcitrant disease. Omalizumab (Xolair) is a monoclonal anti-IgE antibody with proven benefits for patients with moderate/severe asthma and CRSwNP, but this study looks...

American Journal of Rhinology & Allergy cover image.

Can we predict how much benefit patients will get from ESS with a novel monoclonal antibody

1 July 2021 | | Rhinology / Sinus | MLK, SNOT-22, allergic fungal rhinosinusitis, anti-IL-5, asthma, eosinophils, mepolizuma, nucala, prednisone rescue, recalcitrant

Mepolizumab (Nucala) is a humanised IgG1 monoclonal antibody that acts as an IL-5 antagonist. It has been shown to be highly effective in treating severe asthma. It is hypothesised that it will be effective for patients with recalcitrant CRSwNP. This...

American Journal of Rhinology & Allergy cover image.

Simple preoperative tests predicting outcomes for ESS patients?

4 May 2021 | | Rhinology / Sinus | Lund-Kennedy Endoscopic Score, Mometasone Furoate, SNOT-2, chronic rhinosinusitis, disease control, endoscopic sinus surgery, eosinophils, nasal cytology, nasal polyps, neutrophils

We are all familiar with patients suffering extensive nasal polyps who relapse all to soon after careful and thorough endoscopic sinus surgery (ESS). This paper looks to answer whether we can predict which patients will do well, and which less...

B-Ent journal cover image.

Nasal function in COVID-19 patients

4 May 2021 | | Rhinology / Sinus, COVID-19 | COVID-19, schirmer test, saccharin test, SNOT

This Turkish prospective study compared SNOT-22 outcomes as well as objective assessments of nasal secretion and clearance in 40 patients who tested positive on COVID-19 antigen PCR testing and 40 patients who tested negative. Sinonasal findings were assessed using a...

American Journal of Rhinology & Allergy front cover image

How to manage the concha bullosa in FESS

7 July 2020 | | Rhinology / Sinus, Skull Base Surgery | Lund–Mackay score, SNOT-22, chronic sinusitis, computed tomography, patient-reported outcomes, pneumatized middle turbinate, sinus surgery

It is an interesting concept to assess how much impact the presence of a large concha bullosa (CB) has on both severity of chronic rhinosinusitis (CRS) and also postoperative outcomes after FESS. The authors accept that the paper has limitations...

Comparison of outcomes after septoplasty

1 May 2017 | | Nasal septoplasty, SNOT, Allergic rhinitis, Snoring, Obstructive sleep apnea, Chronic rhinosinusitis

For this prospective study, the authors assessed the quality of life (QoL) with the rhinosinusitis SNOT-20 (Sino-Nasal Outcome Test-20) questionnaire and the symptoms on a visual analogue scale (VAS) in all patients undergoing nasal septal surgery. The patients reported the...