Odontogenic maxillary sinusitis (OMS) is a subtype of maxillary sinusitis (MS). It is actually inflammation of the maxillary sinus that secondary to adjacent infectious maxillary dental lesion. Due to the lack of uniq...Odontogenic maxillary sinusitis (OMS) is a subtype of maxillary sinusitis (MS). It is actually inflammation of the maxillary sinus that secondary to adjacent infectious maxillary dental lesion. Due to the lack of unique clinical features, OMS is difficult to distinguish from other types of rhinosinusitis. Besides, the characteristic infectious pathogeny of OMS makes it is resistant to conventional therapies of rhinosinusitis. Its current diagnosis and treatment are thus facing great difficulties. The multi-disciplinary cooperation between otolaryngologists and dentists is absolutely urgent to settle these questions and to acquire standardized diagnostic and treatment regimen for OMS. However, this disease has actually received little attention and has been underrepresented by relatively low publication volume and quality. Based on systematically reviewed literature and practical experiences of expert members, our consensus focuses on characteristics, symptoms, classification and diagnosis of OMS, and further put forward multidisciplinary treatment decisions for OMS, as well as the common treatment complications and relative managements. This consensus aims to increase attention to OMS, and optimize the clinical diagnosis and decision-making of OMS, which finally provides evidence-based options for OMS clinical management.展开更多
To the Editor:While 20–60%of patients with chronic rhinosinusitis with nasal polyps(CRSwNP)have comorbid asthma(known as refractory asthma),asthma is undiagnosed in 25–48%of CRSwNP patients with comorbid asthma._([1...To the Editor:While 20–60%of patients with chronic rhinosinusitis with nasal polyps(CRSwNP)have comorbid asthma(known as refractory asthma),asthma is undiagnosed in 25–48%of CRSwNP patients with comorbid asthma._([1])Moreover,the prevalence of persistent airflow limitation(PAL)is high in CRSwNP patients with comorbid asthma.However,the factors indicating comorbid asthma in patients with CRSwNP and reflecting PAL in those with comorbid asthma have not been fully elucidated.Small airway dysfunction(SAD)has been found in CRSwNP patients,even in the absence of asthma;and the severity of SAD in patients with comorbid asthma is correlated with the duration of asthma history._([2])This study therefore aimed to evaluate the clinical characteristics,especially small airway parameters as indicators of comorbid asthma in patients with CRSwNP and of PAL in CRSwNP patients with comorbid asthma.Besides,in order to identify the characteristics of CRSwNP patients with asthma,we also compared the prevalence of SAD and PAL between asthma patients with or without CRSwNP.展开更多
Allergic rhinitis(AR)is caused by a hyperresponse of the immune system to allergens and results in inflammatory disorders of the nasal mucosa,leading to symptoms,such as sneezing,nasal discharge,itching,and congestion...Allergic rhinitis(AR)is caused by a hyperresponse of the immune system to allergens and results in inflammatory disorders of the nasal mucosa,leading to symptoms,such as sneezing,nasal discharge,itching,and congestion.AR symptoms have been reported in China since ancient times.展开更多
基金project was supported by grants from National Natural Science Foundations of China (Nos. 82025010, 81630023, 81900917)Changjiang Scholars and Innovative Research Team (No. IRT13082)+4 种基金CAMS Innovation Fund for Medical Sciences (No. 2019-I2M-5-022)Beijing Municipal Science and Technology Commision (Nos. Z181100001618002, Z211100002921057)Capital’s Funds for Health Improvement and Research (No.CFH2022-1-1091)Beijing Municipal Administration of Hospitals’ Mission Project (No. SML20150203)Beijing Municipal Administration of Hospitals’ Dengfeng Project (No. DFL20190202)。
文摘Odontogenic maxillary sinusitis (OMS) is a subtype of maxillary sinusitis (MS). It is actually inflammation of the maxillary sinus that secondary to adjacent infectious maxillary dental lesion. Due to the lack of unique clinical features, OMS is difficult to distinguish from other types of rhinosinusitis. Besides, the characteristic infectious pathogeny of OMS makes it is resistant to conventional therapies of rhinosinusitis. Its current diagnosis and treatment are thus facing great difficulties. The multi-disciplinary cooperation between otolaryngologists and dentists is absolutely urgent to settle these questions and to acquire standardized diagnostic and treatment regimen for OMS. However, this disease has actually received little attention and has been underrepresented by relatively low publication volume and quality. Based on systematically reviewed literature and practical experiences of expert members, our consensus focuses on characteristics, symptoms, classification and diagnosis of OMS, and further put forward multidisciplinary treatment decisions for OMS, as well as the common treatment complications and relative managements. This consensus aims to increase attention to OMS, and optimize the clinical diagnosis and decision-making of OMS, which finally provides evidence-based options for OMS clinical management.
基金supported by grants from national key Research&Development program of China(No.2022YFC2504100)the program for the Changjiang scholars and innovative research team(No.IRT13082)+2 种基金the CAMS innovation fund for medical sciences(No.2019-I2M-5-022)the Capital’s funds for health improvement and research(No.2022-1-1091)the Natural Science Cultivation Fund of Beijing Tongren Hospital(No.2021-YJJ-ZR-014)
文摘To the Editor:While 20–60%of patients with chronic rhinosinusitis with nasal polyps(CRSwNP)have comorbid asthma(known as refractory asthma),asthma is undiagnosed in 25–48%of CRSwNP patients with comorbid asthma._([1])Moreover,the prevalence of persistent airflow limitation(PAL)is high in CRSwNP patients with comorbid asthma.However,the factors indicating comorbid asthma in patients with CRSwNP and reflecting PAL in those with comorbid asthma have not been fully elucidated.Small airway dysfunction(SAD)has been found in CRSwNP patients,even in the absence of asthma;and the severity of SAD in patients with comorbid asthma is correlated with the duration of asthma history._([2])This study therefore aimed to evaluate the clinical characteristics,especially small airway parameters as indicators of comorbid asthma in patients with CRSwNP and of PAL in CRSwNP patients with comorbid asthma.Besides,in order to identify the characteristics of CRSwNP patients with asthma,we also compared the prevalence of SAD and PAL between asthma patients with or without CRSwNP.
基金supported by the National Key R&D Program of China(2022YFC2504100)the National Natural Science Foundation of China(82171109 and 82025010)+1 种基金the Program for Changjiang Scholars and Innovative Research Team(IRT13082)the Beijing Municipal Administration of Hospitals’Dengfeng Plan(DFL20190202)。
文摘Allergic rhinitis(AR)is caused by a hyperresponse of the immune system to allergens and results in inflammatory disorders of the nasal mucosa,leading to symptoms,such as sneezing,nasal discharge,itching,and congestion.AR symptoms have been reported in China since ancient times.