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Annoying Nasal Itching and Rhinorrhea

  • Franklin Mariño-Sánchez
  • Meritxell Valls-Mateus
  • Joaquim Mullol
Chapter

Practical Points

  • Nasal examination, mainly nasal endoscopy, is necessary in patients with severe rhinitis, specially in those showing resistance to medical treatment

  • Nasal examination would help to differentially diagnose nasal obstructive disorders and other sinonasal inflammatory conditions, and to potentially propose surgical procedures in order to improve nasal symptoms, disease severity, and patient’s quality of life

  • The intranasal formulation of fluticasone propionate and azelastine hydrochloride in a single device is indicated when an intranasal corticosteroid in monotherapy does not provide an adequate control of symptoms

  • In children with a severe obstructive septal deformity, a conservative endonasal septoplasty may effectively improve nasal obstruction, not interfering with the normal maxillofacial development

  • In allergic patients, a proper long-term follow-up and treatment is essential to avoid relapse of nasal obstruction after inferior turbinate surgery

Keywords

Allergic rhinitis Intranasal corticosteroid Antihistamines Allergic immunotherapy 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Franklin Mariño-Sánchez
    • 1
    • 2
    • 3
  • Meritxell Valls-Mateus
    • 4
  • Joaquim Mullol
    • 5
    • 6
    • 7
  1. 1.Unidad de Rinología y Cirugía de Base de Cráneo, Servicio de OtorrinolaringologíaHospital Universitario Ramón y CajalMadridSpain
  2. 2.INGENIO, Immunoal.lèrgia Respiratòria Clínica i Experimental (IRCE)Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS)BarcelonaSpain
  3. 3.CIBER de Enfermedades Respiratorias (CIBERES)BarcelonaSpain
  4. 4.Unitat de Rinologia i Clinica de l’Olfacte, Servei d’OtorinolaringologiaHospital Clínic i UniversitariBarcelonaSpain
  5. 5.INGENIO, Immunoal.lèrgia Respiratòria Clínica i Experimental (IRCE)Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS)BarcelonaSpain
  6. 6.CIBER de Enfermedades Respiratorias (CIBERES)BarcelonaSpain
  7. 7.Unitat de Rinologia i Clinica de l’Olfacte, Servei d’OtorinolaringologiaHospital Clínic i UniversitariBarcelonaSpain

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