JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2018, Vol. 32 ›› Issue (3): 18-22.doi: 10.6040/j.issn.1673-3770.1.2018.007

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Opinions on the treatment of chronic rhinosinusitis with allergic rhinitis

CHEN Ming, YU Xuefei   

  1. Department of Otolaryngology, The Second Affiliated Hospital of Zhejiang University School of Medicine,
  • Received:2018-02-27 Online:2018-05-20 Published:2018-05-20

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Abstract: Chronic rhinosinusitis(CRS)and allergic rhinitis(AR)are both common chronic upper respiratory diseases and they have certain inherent links and similar inflammatory mechanisms. It is necessary to improve preoperative examination and treatment of allergies in patients with chronic sinusitis or nasal polyps including through food and environment allergen avoidance, immunotherapy, nasal irrigation, administration of nasal steroid hormones, antibiotics against sinus pathogens, and anti-allergy medications such as antihistamines and leukotriene receptor antagonists; and anti-gastroesophageal reflux surgery. Furthermore, vitamin D induces cell differentiation, participates in immune regulation, and regulates other endocrine systems, thus playing an important role in the inflammation involved in CRS and AR.

Key words: Allergic rhinitis, Gastroesophageal reflux, Vitamin D, Rhinosinusitis, chronic, Immunotherapy

CLC Number: 

  • R765.4
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