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Rhinosinusitis, nasal polyposis, and allergy: guidelines and resourses

ENT_Clinic_London_Allergy_and_Immunology_Centre

Non allergic chronic conditions of the nose (rhinitis, sinusitis, nasal polyps)  often mimic allergic inflamation. Our consultants can diagnose treat both. We have allergy consultants who deal with allergy and ENT surgeons(Ear Nose Throat) who deals with non-allergic problems. There are special examinations that can be performed in ENT hospital – nasal endoscopy is a method when nose is examined with a camera and a sorse of light in a thin flexible tube, passed through nostril. This method doe not do much discomfort and the ENT surgeon can see what is going on inside and in many cases find the cause of the problem. Allergy tests are also helpful to exclude allergy as the main cause of rhinitis (running or blocked nose);(more information is given in allergy testing section).

There are many appoaches that can be implemented to deal with nasal problems from simple nasal drops and sprays to sophisticated surgical methods. You can see our ENT consultants’ profile and make appointment HERE

Resources

EPOS Guidelines http://www.thepcrj.org/journ/vol17/17_2_79_89.pdf

ARIA Guidelines http://www.thepcrj.org/journ/vol11_1/0018_0019_bousquet.pdf

BSACI Guidelines for management of rhinosinusitis and nasal polyposis http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2222.2007.02889.x/pdf

BSACI Guidelines for the management of allergic and non-allergic rhinitis http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2222.2007.02888.x/pdf

Literature

  1. Bousquet J, Van Cauwenberge P, Khaltaev N, and the ARIA group. Allergic rhinitis and its impact on asthma. J Allergy Clin Immunol 2001;108(5 Suppl):S147-334.
  2. Price D, Bond C, Bouchard J, et al. International Primary Care Respiratory Group (IPCRG) Guidelines: Management of allergic rhinitis. Prim Care Respir J 2006;15:58-70. doi: 10.1016/j.pcrj.2005.11.002
  3. Scadding GK, Fokkens WJ. Fast Facts: Rhinitis. Oxford: 2007. p46, p69, p89, p95
  4. Fokkens W, Lund V, Mullol J, on behalf of the European Position Paper on Rhinosinusitis and Nasal Polyps group. European Position Paper on Rhinosinusitis and Nasal Polyps 2007. Rhinology 2007;20(Suppl):1-136.
  5. Scadding GK, Durham SR, Mirakian R, et al. BSACI guidelines for the management of allergic and non-allergic rhinitis.Clinical and Experimental Allergy 2008;38:19-42.
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