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American Journal of Rhinology & Allergy

Kagan Ipci, Tugba Oktemer, Nuray Bayar Muluk, Ethem Şahin, Niyazi Altıntoprak, Sameer Ali Bafaqeeh, Yasemin Kurt, Ranko Mladina, Marin Šubarić, Cemal Cingi
BACKGROUND: Some alternative products instead of immunotherapy are used in patients with allergic rhinitis (AR). METHODS: In this paper, alternative products to treat allergic rhinitis and alternative routes for allergy immunotherapy are reviewed. RESULTS: Alternative products and methods used instead of immunotherapy are tea therapy, acupuncture, Nigella sativa, cinnamon bark, Spanish needle, acerola, capsaicin (Capsicum annum), allergen-absorbing ointment, and cellulose powder...
September 2016: American Journal of Rhinology & Allergy
Tugba Oktemer, Niyazi Altıntoprak, Nuray Bayar Muluk, Mehmet Senturk, Murat Kar, Sameer Ali Bafaqeeh, Luisa Bellussi, Desiderio Passali, Cemal Cingi
BACKGROUND: Aeroallergen immunotherapy (AIT) should be considered for patients who exhibit symptoms of allergic rhinitis (AR), rhinoconjunctivitis, and/or asthma after natural exposure to allergens and who also demonstrate specific immunoglobulin E antibodies against relevant allergens. METHODS: In this paper, clinical efficacy of immunotherapy in allergic rhinitis is reviewed. RESULT: Subcutaneous allergen immunotherapy (SCIT) is effective for seasonal and perennial AR...
September 2016: American Journal of Rhinology & Allergy
Ethem Şahin, Sameer Ali Bafaqeeh, Selis Gülseven Güven, Erdem Atalay Çetinkaya, Nuray Bayar Muluk, Zerrin Ozergin Coşkun, Andrey Lopatin, Murat Kar, Mehmet Ozgur Pinarbasli, Cemal Cingi
BACKGROUND: Allergen immunotherapy (AIT) leads to the production of antiallergen immunoglobulin (IgG) or "blocking antibody" in the serum and an increase in antiallergen IgG and IgA in nasal secretions. There is also a decrease in the usual rise in antiallergen IgE that occurs after the pollen season. METHODS: In this paper, mechanisms of action of allergen immunotherapy is reviewed. RESULTS: Regulatory T (Treg) cells and their cytokines, primarily interleukin (IL) 10 and transforming growth factor beta, suppress T-helper type 2 immune responses and control allergic diseases in many ways...
September 2016: American Journal of Rhinology & Allergy
Ronald G Amedee
No abstract text is available yet for this article.
September 2016: American Journal of Rhinology & Allergy
Christopher R Roxbury, Tiffany Saavedra, Murugappan Ramanathan, Michael Lim, Masaru Ishii, Gary L Gallia, Douglas D Reh
BACKGROUND: Although the nasoseptal flap has become the method of choice for reconstruction of intraoperative cerebrospinal fluid (CSF) leak in endoscopic minimally invasive surgery of the skull base, layered avascular graft techniques, including allografts and middle turbinate mucosal autografts, may provide comparable reconstructive success with decreased nasal morbidity. OBJECTIVE: To describe a method of reconstruction of intraoperative CSF leak in endoscopic surgery of the sella turcica and analyze its postoperative success rate and associated comorbidities...
September 2016: American Journal of Rhinology & Allergy
Elisabeth H Ference, Raj Sindwani, Bruce K Tan, Rakesh K Chandra, Robert C Kern, David Conley, Stephanie Shintani Smith
BACKGROUND: The advent of endoscopic sinus surgery has created an exciting interface between rhinology and ophthalmology in the area of orbital and optic nerve decompression Objectives: (1) To study the utilization of open versus endoscopic medial orbital decompression based on geography and indication, (2) to describe the demographics of the patient populations who underwent these different techniques, and (3) to compare outcomes, including mean charges and operating room (OR) times Methods: Cases identified by Current Procedural and Terminology codes were extracted from the California, Florida, Maryland, and New York State Ambulatory Surgery Databases from 2009 to 2011...
September 2016: American Journal of Rhinology & Allergy
Brian W Rotenberg, Khrystyna E Ioanidis, Leigh J Sowerby
BACKGROUND: The problem of postoperative management after frontal sinus surgery remains a challenge. The bilateral opening created in the Draf III procedure does not fit any currently available stent, and patients find rinsing the frontal sinus difficult, which thus decreases compliance. The objective of this study was to demonstrate the successful use of a novel frontal sinus catheter fashioned from a biliary T tube by addressing these issues in patients with complicated sinus disease...
September 2016: American Journal of Rhinology & Allergy
Jonnae Y Barry, Hilary C McCrary, Sean Kent, Ahlam A Saleh, Eugene H Chang, Alexander G Chiu
INTRODUCTION: Accountable care organizations (ACO) and alternative payment models are a sign of the change in reimbursement from fee-for-service to value-based reimbursement. The focus of health care under ACOs is represented by the Triple Aim: to improve the experience of health care, improve the health of populations, and reduce the per capita costs. Individuals with chronic rhinosinusitis (CRS) are heavy consumers of health care services. Results of recent studies have indicated that there is the potential for improved outcomes and cost savings from early surgical intervention...
September 2016: American Journal of Rhinology & Allergy
Toby O Steele, Maria C Buniel, Jess C Mace, Edward El Rassi, Timothy L Smith
BACKGROUND: Lymphomas of the sinonasal tract are a rare and heterogeneous subset of solid sinonasal neoplasms. OBJECTIVE: To characterize, in this case series, presenting symptoms, treatment modalities, and outcomes for patients with sinonasal lymphoma within a single institution. METHODS: Retrospective patient data were collected from an academic, oncologic center and entered into a repository designed to capture outcomes for sinonasal malignancies...
September 2016: American Journal of Rhinology & Allergy
Anna Maria Zicari, Francesca Occasi, Marco Di Fraia, Fabrizio Mainiero, Alessandra Porzia, Ricciarda Galandrini, Anna Giuffrida, Daniela Bosco, Serena Bertin, Marzia Duse
BACKGROUND: Local allergic rhinitis (LAR) is a phenotype of rhinitis that has been poorly studied in children. It is characterized by the same symptoms of allergic rhinitis but with the absence of markers of systemic atopy. OBJECTIVE: To identify children affected by LAR and to analyze the pathogenesis of this disease. We chose to focus our attention on interleukin (IL) and thymic stromal lymphopoietin (TSLP). METHODS: We enrolled 20 children affected by nonallergic rhinitis (negative skin-prick test results and serum specific immunoglobulin E [sIgE] values)...
September 2016: American Journal of Rhinology & Allergy
Paul M Dorresteijn, Daniel Muller, Yaoguo Xie, Zhengjun Zhang, Bruce P Barrett
BACKGROUND: To assess the concurrent and predictive validity of the Nasal Mucus Index (NMI), a novel measurement of acute respiratory infection (ARI) severity. OBJECTIVE: ARI, including the common cold and influenza, imposes a great burden on individuals and society. Previous research has attempted to assess the severity of ARI with self-reported and laboratory-based measurements. Self-reported measurements may introduce bias. Laboratory-based metrics are often expensive...
September 2016: American Journal of Rhinology & Allergy
Benjamin M Hariri, Noam A Cohen
BACKGROUND: Protecting the upper airway from microbial infection is an important function of the immune system. Proper detection of these pathogens is paramount for sinonasal epithelial cells to be able to prepare a defensive response. Toll-like receptors and, more recently, bitter taste receptors and sweet taste receptors have been implicated as sensors able to detect the presence of these pathogens and certain compounds that they secrete. Activation of these receptors also triggers innate immune responses to prevent or counteract infection, including mucociliary clearance and the production and secretion of antimicrobial compounds (e...
September 2016: American Journal of Rhinology & Allergy
Troy D Woodard
No abstract text is available yet for this article.
September 2016: American Journal of Rhinology & Allergy
Marcel M Miyake, Luciano L Gregorio, Suzanne K Freitag, Daniel R Lefebvre, Stacey T Gray, Eric H Holbrook, Benjamin S Bleier
BACKGROUND: Dacryocystorhinostomy (DCR) is the criterion standard of surgical treatment for complete nasolacrimal obstruction and dacryocystitis. There has been an expansion in the indication of the endonasal DCR (eDCR), but the impact of surgical manipulating an otherwise healthy nasal mucosa on postoperative sinonasal quality of life remains unknown. The purpose of this study was to determine whether patients who underwent eDCR experienced any decrement in sinonasal quality of life...
September 2016: American Journal of Rhinology & Allergy
Benjamin Verillaud, Nicolas Le Clerc, Jean-Philippe Blancal, Jean-Pierre Guichard, Romain Kania, Marion Classe, Philippe Herman
BACKGROUND: Inverted papillomas (IP) inserted in the frontal sinus and/or recess may be treated by using an endoscopic endonasal or an external approach. There are still few data available on this uncommon localization of IPs. OBJECTIVE: To report our experience in the management of IP of the frontal drainage pathway, to describe a previously unreported specific complication of this surgery, and to discuss the optimal surgical strategy. METHODS: A retrospective study of the patients at a tertiary care center between 2004 and 2014 who were operated on for an IP with an insertion in the frontal recess and/or the frontal sinus...
September 2016: American Journal of Rhinology & Allergy
Giuseppe Brescia, Umberto Barion, Barbara Pedruzzi, Francesco Cinetto, Luciano Giacomelli, Alfonso Luca Pendolino, Filippo Marino, Enzo Manzato, Alessandro Martini, Gino Marioni
BACKGROUND/OBJECTIVE: The main end point of this investigation was to review our experience gained from 2009 to 2015 of treating chronic rhinosinusitis with nasal polyps (CRSwNP) in elderly patients (≥65 years old) with functional endoscopic sinus surgery. Secondary aims were to analyze the prognostic variables for CRSwNP in elderly patients and to compare the demographic, clinical, laboratory, histologic, and prognostic characteristics of CRSwNP in elderly versus young adult patients (20-40 years old)...
September 2016: American Journal of Rhinology & Allergy
Rossana B Leal, Monalisa C Gomes, Ana F Granville-Garcia, Paulo S A Goes, Valdenice A de Menezes
BACKGROUND: Mouth breathing can cause a set of changes in craniofacial growth and development, with esthetic, functional, and psychological repercussions. OBJECTIVE: To determine the impact of mouth breathing on the quality of life of schoolchildren. METHODS: A school-based, cross-sectional study was conducted with 1911 children ages 9 and 10 years in the city of Recife, Brazil. The children answered the Mouth Breather Quality of Life questionnaire and a questionnaire that addressed sociodemographic data and health-related aspects...
September 2016: American Journal of Rhinology & Allergy
I A Guvenc, N Bayar Muluk, F S Mutlu, E Eski, N Altintoprak, T Oktemer, C Cingi
OBJECTIVE: To investigate clinical evidence for the efficacy of probiotics in the treatment of allergic rhinitis (AR). METHODS: A systematic search was conducted to review the results of all randomized, double-blind, placebo-controlled trials by following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement. Primary outcome measurements were total nasal and ocular symptom scores (SS) and quality of life (QoL) questionnaires. Secondary outcome measurements were individual nasal SS and immunologic parameters...
July 20, 2016: American Journal of Rhinology & Allergy
Z O Coskun, O C Erdivanli, K C Kazikdas, S Terzi, U Sahin, A Ozgur, M Demirci, E Dursun, C Cingi
OBJECTIVES: Identification of the most common aeroallergens to which patients are sensitized in a specific area is important in the diagnosis and treatment of allergic rhinitis (AR). We determined the distribution of aeroallergens, detected by skin-prick tests (SPT), in adult patients with AR in the Eastern Black Sea region of Turkey and compared the results with the other regions of Turkey and in the world. METHODS: The medical records of SPT performed on 1457 patients with symptoms of AR (with regard to the Allergic Rhinitis and its Impact on Asthma 2008 guidelines) between March 2010 and March 2013 were analyzed retrospectively...
July 1, 2016: American Journal of Rhinology & Allergy
Charles A Riley, Ronald G Amedee
No abstract text is available yet for this article.
July 2016: American Journal of Rhinology & Allergy
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