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This book is a comprehensive compendium on the medical and surgical treatment of chronic rhinosinusitis (CRS), with or without polyposis. Detailed coverage is provided of a wide range of topics, including medical and surgical management of CRS and its subsets, medical therapy in the pre- and postoperative period and specific medical therapeutic classes currently employed in CRS patients. Each chapter highlights key aspects of specific therapies, including mechanism of action, indications, dosages, side-effects and available clinical efficacy data and emphasizes practical management pearls and pitfalls. Operative techniques for endoscopic sinonasal procedures for CRS are also outlined. The book will be a valuable resource for practicing general otolaryngologists, rhinologists and allergists as well as residents and fellows in training. It will also serve as a reference guide for physician assistants, nurse practitioners and nurses involved in the care of CRS patients.
This comprehensive volume with contributions by over 30 of the world's leading rhinologists will help to shed light on this difficult topic. Prof. Kountakis and Prof. Senior are well-known ENT-surgeons in the U.S. Prof. Draf is one of the most senior and most recognized ORL/Head- and Neck surgeon in Germany and world-wide. Thorough discussions of anatomy and pathophysiology of a variety of frontal sinus diseases provide a background for in-depth chapters on aspects of both medical and surgical management. A variety of surgical approaches are discussed, including the latest endoscopic techniques, as well as more traditional open and microscopic approaches. Heavily illustrated, this volume will be a "must have" for the rhinologist managing disease in the frontal sinus.
Topics include: History of Allergy; Epidemiology of Allergy; Types of Rhinitis; Differential Diagnosis including Allergy Mimics; Immunology; Physical Findings in Allergy; Diagnosis including lab testing and physical examination; Associated Conditions and Comorbidities; Role of Allergy in Serous Otitis Media; Role of Allergy in Meneire's Syndrome; Asthma; Polyposis; Allergic Fungal Sinusitis; Treatment – Environmental Controls; Pharmacotherapy; Traditional Immunotherapy; Sublingual (SLIT) Immunotherapy; The Allergic March; Surgical Treatment of Allergies; Inhalant Allergies in Children; Food Allergies in Adults and Children.
Chronic rhinosinusitis with nasal polyposis (CRSwNP) is a heterogeneous disease that impacts a significant portion of the population. Specific subtypes of the disease include cystic fibrosis, allergic fungal sinusitis, and aspirin-exacerbated respiratory disease. Unfortunately, the majority of patients with CRSwNP do not fall within one of these subtypes, and have variable responses to medical and surgical treatment. There are rapidly evolving theories describing the etiology of CRSwNP that involve alterations in innate immunity, acquired dysfunction of respiratory epithelial cells, and external or environmental factors. This book provides a comprehensive update on the latest theories on the etiology of CRSwNP as well as a review of innovative and effective medical and surgical therapies. Special thanks go to D.W. Kennedy, Philadelphia, Pa., for contributing the foreword. Otorhinolaryngologists and allergologists, as well as other physicians and medical providers treating patients with CRSwNP, will find this volume to be an indispensable source of current information.
This book discusses the unique epidemiology of fungal infections in Asia, illustrating that the situation in these countries is different from that in Western countries in terms of the causative species, natural history and management strategies. Asia, the world’s largest continent and home to more than half the global population, has conditions that favor the growth of many fungi, including a number of unique species. Further, socio-economic conditions such as overcrowding, compromised health care facilities and lack of awareness add to the morbidity and mortality due to fungal diseases in this part of the world. Since the majority of Asian countries do not have good diagnostic mycology laboratories, antifungal management is often based on experience. The limited data from Asian countries suggest a very high incidence of fungal infections. This book addresses epidemiology of fungal infections in general and specific populations of Asia, fungal allergy, and diagnosis and management in resource-limited environments. The book is must read for busy clinicians, microbiologists and critical care providers.
Completely updated, this volume is a practical, authoritative guide to the diagnosis and management of sleep-related breathing disorders. This Third Edition provides a more comprehensive treatment approach, focusing on surgical treatment but recognizing the growing importance of medical management of snoring/sleep disorders. Noted experts in the fields of otolaryngology, head and neck surgery, pulmonology, and sleep medicine examine the pathophysiology of these disorders, their clinical presentations in adults and children, the diagnostic workup, and the latest and most effective drugs, devices, oral appliances, and surgical procedures. An in-depth discussion of patient selection and treatment decisions is also included.