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Annoying Nasal Itching and Rhinorrhea

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Pediatric Allergy

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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

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Author information

Authors and Affiliations

  1. Unidad de Rinología y Cirugía de Base de Cráneo, Servicio de Otorrinolaringología, Hospital Universitario Ramón y Cajal, Madrid, Spain

    Franklin Mariño-Sánchez

  2. INGENIO, Immunoal.lèrgia Respiratòria Clínica i Experimental (IRCE), Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Catalunya, Spain

    Franklin Mariño-Sánchez

  3. CIBER de Enfermedades Respiratorias (CIBERES), Barcelona, Catalunya, Spain

    Franklin Mariño-Sánchez

  4. Unitat de Rinologia i Clinica de l’Olfacte, Servei d’Otorinolaringologia, Hospital Clínic i Universitari, Barcelona, Catalunya, Spain

    Meritxell Valls-Mateus

  5. INGENIO, Immunoal.lèrgia Respiratòria Clínica i Experimental (IRCE), Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Catalunya, Spain

    Joaquim Mullol

  6. CIBER de Enfermedades Respiratorias (CIBERES), Barcelona, Catalunya, Spain

    Joaquim Mullol

  7. Unitat de Rinologia i Clinica de l’Olfacte, Servei d’Otorinolaringologia, Hospital Clínic i Universitari, Barcelona, Catalunya, Spain

    Joaquim Mullol

Authors
  1. Franklin Mariño-Sánchez
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  2. Meritxell Valls-Mateus
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  3. Joaquim Mullol
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Editor information

Editors and Affiliations

  1. Department of Immunology, School of Medicine, Research Center for Immunodeficiencies (RCID), Children’s Medical Center, Tehran University of Medical Sciences (TUMS), Tehran, Iran

    Nima Rezaei

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Mariño-Sánchez, F., Valls-Mateus, M., Mullol, J. (2019). Annoying Nasal Itching and Rhinorrhea. In: Rezaei, N. (eds) Pediatric Allergy. Springer, Cham. https://doi.org/10.1007/978-3-030-18282-3_10

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  • DOI: https://doi.org/10.1007/978-3-030-18282-3_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-18281-6

  • Online ISBN: 978-3-030-18282-3

  • eBook Packages: MedicineMedicine (R0)

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