Current and Future Treatments of Rhinitis and Sinusitis.
Bioabsorbable sinus implant
Chronic rhinitis
Chronic rhinosinusitis
Dupilumab
EDS-FLU
Mepolizumab
Nasal polyposis
Omalizumab
Sinus surgery
Journal
The journal of allergy and clinical immunology. In practice
ISSN: 2213-2201
Titre abrégé: J Allergy Clin Immunol Pract
Pays: United States
ID NLM: 101597220
Informations de publication
Date de publication:
05 2020
05 2020
Historique:
received:
16
10
2019
revised:
17
01
2020
accepted:
17
01
2020
pubmed:
1
2
2020
medline:
15
5
2021
entrez:
1
2
2020
Statut:
ppublish
Résumé
Advances in understanding the pathogenic mechanisms of both rhinitis and chronic rhinosinusitis have resulted in new treatment options, especially for chronic rhinosinusitis. A review of relevant medical and surgical clinical studies shows that intranasal corticosteroids, antihistamines, and allergen immunotherapy continue to be the best treatments for chronic rhinitis. Dupilumab is the first biologic approved for chronic rhinosinusitis with polyps. Omalizumab, mepolizumab, and benralizumab may have a future role in the treatment of chronic rhinosinusitis. Novel corticosteroid delivery devices such as an exhalation delivery system for fluticasone and bioabsorbable sinus implants provide enhanced and localized distribution of corticosteroids. Surgical management tailored to the underlying disease process improves clinical outcomes in chronic rhinosinusitis with or without nasal polyposis. Advances in the understanding of the heterogeneous nature of rhinitis and rhinosinusitis have resulted in more precise treatments. Improving the understanding of different endotypes should provide better knowledge to determine appropriate current and new therapies to treat these diseases.
Identifiants
pubmed: 32004747
pii: S2213-2198(20)30071-4
doi: 10.1016/j.jaip.2020.01.031
pmc: PMC7416524
mid: NIHMS1609056
pii:
doi:
Substances chimiques
Fluticasone
CUT2W21N7U
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1522-1531Subventions
Organisme : NIAID NIH HHS
ID : T32 AI083216
Pays : United States
Commentaires et corrections
Type : CommentIn
Type : CommentIn
Informations de copyright
Copyright © 2020 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.
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