Articles producció científica> Medicina i Cirurgia

Management of Mechanical Nasal Obstruction Isolated or Associated to Upper Airway Inflammatory Diseases in Real Life: Use of both Subjective and Objective Criteria

  • Datos identificativos

    Identificador: imarina:9326699
    Autores:
    Merma-Linares CMartinez MDGonzalez MAlobid IFiguerola EMullol J
    Resumen:
    Mechanical nasal obstruction (MNO) is a prevalent condition with a high impact on patient's quality-of-life (QoL) and socio-economic burden. The aim of this study was to determine the usefulness of both subjective and objective criteria in the appropriate management of MNO, either alone or associated to upper airway inflammatory diseases such as allergic rhinitis (AR) or chronic rhinosinusitis with nasal polyps (CRSwNP).A long debate persists about the usefulness of subjective and objective methods for making decisions on the management of patients with nasal obstruction. Establishing standards and ranges of symptom scales and questionnaires is essential to measure the success of an intervention and its impact on QoL. To our knowledge this is the first real-life study to describe the management of MNO using both subjective and objective criteria in MNO isolated or associated to upper airway inflammatory diseases (AR or CRSwNP). Medical treatment (intranasal corticosteroids) has a minor but significant improvement in MNO subjective outcomes (NO, NOSE, and CQ7) with no changes in loss of smell and objective outcomes. After surgery, all MNO patients reported a significant improvement in both subjective and objective outcomes, this improvement being higher in CRSwNP. We concluded that in daily clinical practice, the therapeutic recommendation for MNO should be based on both subjective and objective outcomes, nasal corrective surgery being the treatment of choice in MNO, either isolated or associated to upper airway inflammatory diseases, AR or CRSwNP.© 2023. The Author(s).
  • Otros:

    Autor según el artículo: Merma-Linares C; Martinez MD; Gonzalez M; Alobid I; Figuerola E; Mullol J
    Departamento: Medicina i Cirurgia
    Autor/es de la URV: Figuerola Massana, Enric / Martínez Novoa, María Dolores / Merma Linares, Carla Vanessa
    Palabras clave: Nasal surgical procedures Nasal obstruction Diagnostic techniques Crswnp Allergic rhinitis
    Resumen: Mechanical nasal obstruction (MNO) is a prevalent condition with a high impact on patient's quality-of-life (QoL) and socio-economic burden. The aim of this study was to determine the usefulness of both subjective and objective criteria in the appropriate management of MNO, either alone or associated to upper airway inflammatory diseases such as allergic rhinitis (AR) or chronic rhinosinusitis with nasal polyps (CRSwNP).A long debate persists about the usefulness of subjective and objective methods for making decisions on the management of patients with nasal obstruction. Establishing standards and ranges of symptom scales and questionnaires is essential to measure the success of an intervention and its impact on QoL. To our knowledge this is the first real-life study to describe the management of MNO using both subjective and objective criteria in MNO isolated or associated to upper airway inflammatory diseases (AR or CRSwNP). Medical treatment (intranasal corticosteroids) has a minor but significant improvement in MNO subjective outcomes (NO, NOSE, and CQ7) with no changes in loss of smell and objective outcomes. After surgery, all MNO patients reported a significant improvement in both subjective and objective outcomes, this improvement being higher in CRSwNP. We concluded that in daily clinical practice, the therapeutic recommendation for MNO should be based on both subjective and objective outcomes, nasal corrective surgery being the treatment of choice in MNO, either isolated or associated to upper airway inflammatory diseases, AR or CRSwNP.© 2023. The Author(s).
    Áreas temáticas: Pulmonary and respiratory medicine Medicina ii Medicina i Immunology and allergy Immunology General medicine Allergy
    Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
    Direcció de correo del autor: carlavanessa.merma@urv.cat enric.figuerola@urv.cat carlavanessa.merma@urv.cat
    Fecha de alta del registro: 2024-08-03
    Versión del articulo depositado: info:eu-repo/semantics/publishedVersion
    Enlace a la fuente original: https://link.springer.com/article/10.1007/s11882-023-01104-y
    URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referencia al articulo segun fuente origial: Current Allergy And Asthma Reports. 23 (10): 567-578
    Referencia de l'ítem segons les normes APA: Merma-Linares C; Martinez MD; Gonzalez M; Alobid I; Figuerola E; Mullol J (2023). Management of Mechanical Nasal Obstruction Isolated or Associated to Upper Airway Inflammatory Diseases in Real Life: Use of both Subjective and Objective Criteria. Current Allergy And Asthma Reports, 23(10), 567-578. DOI: 10.1007/s11882-023-01104-y
    DOI del artículo: 10.1007/s11882-023-01104-y
    Entidad: Universitat Rovira i Virgili
    Año de publicación de la revista: 2023
    Tipo de publicación: Journal Publications
  • Palabras clave:

    Allergy,Immunology,Immunology and Allergy,Pulmonary and Respiratory Medicine
    Nasal surgical procedures
    Nasal obstruction
    Diagnostic techniques
    Crswnp
    Allergic rhinitis
    Pulmonary and respiratory medicine
    Medicina ii
    Medicina i
    Immunology and allergy
    Immunology
    General medicine
    Allergy
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