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The state of sinus care in 2017

Adappa, Nithin D.; Becker, Samuel S.

Current Opinion in Otolaryngology & Head and Neck Surgery: February 2017 - Volume 25 - Issue 1 - p 3
doi: 10.1097/MOO.0000000000000333
NOSE AND PARANASAL SINUSES: Edited by Samuel S. Becker and Nithin D. Adappa

Department of Otorhinolaryngology – Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA

Correspondence to Nithin D. Adappa, Division of Rhinology, Department of Otorhinolaryngology – Head and Neck Surgery, The Rhinology and Skull Base Surgery Hospital, University of Pennsylvania, 3400 Spruce Street, Ravdin 5, Philadelphia, PA 19104, USA. Tel: +1 215 662 2360; e-mail:

Rhinology and skull base surgery continue to be a rapidly expanding area of interest throughout both general and subspecialty otolaryngologists. The increased interest has led to a larger body of literature throughout our field that both helps us as clinicians improve, and also is a challenge in identification of the relevant literature that will help improve both medical and surgical decision as otolaryngologists. The goal of this issue of Current Opinion in Otolaryngology and Head and Neck Surgery is to review the ever-expanding literature on some commonly identified rhinologic medical topics, as well as the latest updates on a wide array of surgical procedures.

We begin the article discussing a familiar topic, but revisiting current options by Drs Cobo and Caldas (pp. 4–11) who delve into the latest literature on caudal septum surgery techniques. Following this, we focus on inflammatory chronic rhinosinusitis. Drs Terzakis and Georgalas (pp. 12–18) identified new key articles looking at polyps, asthma and allergy. Similarly, Drs Al-Asousi, Dadgostar and Javer (pp. 19–23) took the opportunity to update us on treatment for sinonasal methicillin-resistant Staphylococcus aureus infections. In addition, in evaluation of surgical treatment, a field that is of critical importance, but often not discussed is the evidence for different anesthetic techniques to optimize sinus surgery written by Drs Carlton and Govindaraj (pp. 24–29).

For those performing endoscopic sinus surgery, we understand that the postsurgical care is just as critical as the surgery itself and accordingly we evaluated the recent literature in several areas. First, Drs Tajudeen and Bosso (pp. 30–34) discuss the recent evidence of aspirin desensitization in aspirin exacerbated respiratory disease. Then, Drs Eloy and Poirrier (pp. 35–42) focused on the recent evidence for postoperative care following endoscopic sinus surgery.

There are also several emerging areas of investigation that many patients more frequently inquire about following sinus surgery. We chose to focus on three such areas. Dr Patel (pp. 43–46) evaluated the recent literature on olfactory training following olfactory loss. Similarly, Drs Alt, Orb and Orlandi (pp. 47–53) review new data on the role of sinus surgery in sleep outcomes. Finally, Drs Yoo and Suh (pp. 54–63) look at the current evidence of a genetic component of chronic rhinosinusitis.

Our final articles change gears away from inflammatory disease and tackle a number of relevant issues for rhinologists today. Drs Lupa and Wise (pp. 64–68) discuss the current data and literature associated with management of hereditary hemorrhagic telangiectasia. Drs J. Goldfarb, D. Goldfarb and Rosen (pp. 69–72) discuss nonmalignant lesion of the inferior turbinate. Drs Antisdel and Wehrmann (pp. 73–78) continue to address new literature on endoscopic orbital decompression techniques. Similarly, we look at new data on avoiding complications in endoscopic skull base surgery given by Drs Constantinidis and Konstantinidis (pp. 79–85). Finally, in an area of increasing interest among skull base surgeons, Drs Workman, Palmer and Adappa (pp. 86–92) discuss the recent literature on posttreatment surveillance for sinonasal malignancy.

Our goal for the readership is to provide an up-to-date literature on topics of interest among a wide variety of otolaryngologists. We hope the topics chosen can benefit a number of the readers by summarizing the relevant articles for this issue of Current Opinion in Otolaryngology and Head and Neck Surgery.

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Conflicts of interest

There are no conflicts of interest.

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