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Evaluation of the Medical and Surgical Treatment Of Chronic Rhinosinusitis: A Prospective, Randomised, Controlled Trial

The Laryngoscope · 2004 · Vol. 114(5) · pp. 923–930
Sameh M. RagabValerie J. LundGlenis Scadding

Abstract

CRS should be initially targeted with maximal medical therapy (e.g., a 3 month course of a macrolide antibiotic, douche, and topical steroid), with surgical treatment being reserved for cases refractory to medical therapy. The presence of nasal polyps is not a poor prognostic factor for the efficacy of CRS therapy, either surgical or medical.

Sinusitis and nasal conditionsAllergic Rhinitis and SensitizationAsthma and respiratory diseasesMedicineChronic rhinosinusitisMedical therapyRandomized controlled trialSurgeryAcoustic rhinometryMedical treatmentProspective cohort studyNasal polypsRefractory (planetary science)

MeSH terms

FluticasoneAdultAndrostadienesAnti-Inflammatory AgentsEndoscopyFemaleFollow-Up StudiesHumansMaleMiddle AgedNitric OxideProspective StudiesQuality of LifeRhinitisSinusitis
Citations
332
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12.00
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64
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99%
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References
Long‐term Results of Functional Endoscopic Sinus Surgery
The Laryngoscope · 1998 · 438 citations
The MOS 36-ltem Short-Form Health Survey (SF-36)
Medical Care · 1992 · 29,431 citations
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