Interní Med. 2012; 14(12): 455-457

The treatment of chronic rhinosinusitis

MUDr.Jiří Hoza

Otolaryngologická klinika, Fakultní nemocnice Olomouc

The treatment of chronic rhinosinusitis (CRS) represents a major problem given the prevalence of this condition in the population

and the resulting socioeconomic impacts. The etiology and pathogenesis of CRS are discussed. The treatment involves both conservative

and surgical methods. In addition to the standardly used topical steroids, conservative therapy mainly employs so-called

immunolides (e.g. erdosteine), systemic pharmaceuticals that block the mediators involved in the complex chain of CRS development.

Surgical treatment, with the exception of complications, is regarded as second-choice modality, with modern technological

procedures being used, such as FESS (functional endoscopic sinus surgery), a microsurgical mini-invasive method with minimal

morbidity for the patient.

erdosteine.

Keywords: chronic rhinosinusitis (CRS), paranasal sinuses, ostiomeatal unit, functional endoscopic sinus surgery (FESS), corticosteroids,

Published: January 1, 2013  Show citation