Derebery M J
University of Southern California School of Medicine, Los Angeles.
Otolaryngol Clin North Am. 1993 Aug;26(4):593-611.
The treatment of chronic sinusitis and nasal polyposis requires an interface between allergy and otolaryngology. The tendency of allergy to produce chronic symptoms from repeated exposure to inhalant or food antigens plays a role in both the production and chronicity of sinus disease. Mild, seasonal, or easily avoidable allergens may be well treated by proper selection of antihistamines, cromolyn sodium, topical steroids, or the judicious use of systemic steroids, as well as environmental control. More severe or perennial symptoms require identification by in vivo or in vitro testing techniques, with desensitization for offending inhalant allergens and dietary restrictions or injection therapy for food antigens. The otolaryngologist dealing with sinus disease is in a unique position to offer optimal patient care by combining surgical skills with specific medical treatment of allergy.
慢性鼻窦炎和鼻息肉的治疗需要过敏科与耳鼻喉科之间的协作。过敏反应因反复接触吸入性或食物抗原而产生慢性症状的倾向，在鼻窦疾病的发生和慢性化过程中均起作用。轻度、季节性或易于避免的过敏原，可通过合理选用抗组胺药、色甘酸钠、局部用类固醇，或谨慎使用全身性类固醇以及环境控制来妥善治疗。更严重或常年性症状则需要通过体内或体外检测技术来识别，对引起过敏的吸入性过敏原进行脱敏治疗，对食物抗原进行饮食限制或注射治疗。处理鼻窦疾病的耳鼻喉科医生，通过将手术技能与特定的过敏医学治疗相结合，处于提供最佳患者护理的独特地位。
