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Allergy and the Patient Requiring Revision Sinus Surgery

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Revision Sinus Surgery

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Abstract

• Allergic rhinitis is an IgE-mediated response to allergens including pollens, fungi, animal danders, insects, and dust mites.

• The role of allergic rhinitis in the pathogenesis of chronic rhinosinusitis is poorly understood, but the association is strong.

• Persistent sinonasal symptoms after endoscopic sinus surgery may indicate the need for management of an underlying allergy. Evaluation of allergy is therefore an important component in the evaluation of the patient considering revision sinus surgery.

• Typical symptoms of allergic rhinitis include nasal congestion, itching, sneezing, rhinorrhea, and postnasal discharge.

• Pharmacotherapy for allergic rhinitis should be targeted toward the specific symptom profile of the individual patient. Immunotherapy can benefit patients who fail to achieve symptom relief with environmental controls and pharmacotherapy, or who have perennial symptoms.

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Authors and Affiliations

  1. Eye and Ear Institute - Department of Otolaryngology, University of Pittsburgh School of Medicine, 200 Lothrop Street, Suite 500, PA 15213-2546, Pittsburgh, PA, USA

    Li-Xing Man

  2. Department of Otolaryngology, Division of Sino-Nasal Disorders and Allergy, University of Pittsburgh School of Medicine, Eye and Ear Institute, 200 Lothrop Street, Suite 500, PA 15213-2546, Pittsburgh, PA, USA

    Berrylin J. Ferguson

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  1. Li-Xing Man
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  2. Berrylin J. Ferguson
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© 2008 Springer-Verlag Berlin Heidelberg

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Man, LX., Ferguson, B. (2008). Allergy and the Patient Requiring Revision Sinus Surgery. In: Revision Sinus Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-78931-4_23

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  • DOI: https://doi.org/10.1007/978-3-540-78931-4_23

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-78930-7

  • Online ISBN: 978-3-540-78931-4

  • eBook Packages: MedicineMedicine (R0)

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