Diagnostic therapeutic assistance pathway (PDTA) of type 2 chronic rhinosinusitis

被引：1

作者：

Canevari, Frank Rikki ^{[1
,2
]}

Giorli, Alessia ^{[3
]}

Monti, Giulia ^{[4
]}

Biagini, Cesare ^{[3
]}

Bagnasco, Diego ^{[5
]}

Cavaliere, Carlo ^{[6
]}

Pipolo, Carlotta ^{[7
]}

De Corso, Eugenio ^{[8
]}

Gelardi, Matteo ^{[9
]}

Gramellini, Giulia ^{[10
]}

Ioppi, Alessandro ^{[1
,2
,11
]}

La Mantia, Ignazio ^{[12
]}

Malvezzi, Luca ^{[13
]}

Bignami, Maurizio ^{[14
]}

Dehgani-Mobaraki, Puya ^{[15
]}

Seccia, Veronica ^{[16
]}

Maggiore, Giandomenico ^{[17
]}

Macchi, Alberto ^{[4
]}

机构：

[1] IRCCS Osped Policlin San Martino, Unit Otorhinolaryngol Head & Neck Surg, Genoa, Italy

[2] Univ Genoa, Dept Surg Sci & Integrated Diagnost DISC, Genoa, Italy

[3] Azienda Osped Univ Senese, Otolaryngol Dept, Siena, Italy

[4] Univ Insubria, ASST Sette Laghi, ENT Dept, Varese, Italy

[5] Univ Genoa, IRCCS Policlin San Martino, Dept Internal Med DIMI, Allergy & Resp Dis, Genoa, Italy

[6] Sapienza Univ Rome, Dept Sense Organs, Rome, Italy

[7] Univ Milan, ASST Santi Paolo & Carlo, Dept Hlth Sci, Otolaryngol Unit, Milan, Italy

[8] Fdn Policlin A Gemelli IRCCS, Unit Otorhinolaryngol & Head Neck Surg, Rome, Italy

[9] Univ Hosp Foggia, Dept Otolaryngol, Foggia, Italy

[10] St Orsola Malpighi Hosp, Asst Grande Osped Metropolitano Niguarda, Ear Nose & Throat Unit, ENT Dept, Bologna, Italy

[11] Azienda Prov & Serv Sanit APSS, S Chiara Hosp, Dept Otorhinolaryngol Head & Neck Surg, Trento, Italy

[12] Univ Catania, Dept Med & Surg Sci & Adv Technol GF Ingrassia, ENT Sect, Catania, Italy

[13] Humanitas Res Hosp, IRCCS, Otorhinolaryngol Head & Neck Surg Unit, Milan, Italy

[14] Univ Insubria, ASST Lariana, Dept Surg, Dept Otorhinolaryngol, Como, Italy

[15] Usl Umbria 1, Ent & Head & Neck Surg, Perugia, Italy

[16] Univ Pisa, Azienda Osped Univ Pisana, Dept Surg Med Mol Pathol & Crit Care Med, Otolaryngol Audiol & Phoniatr Operat Unit, Pisa, Italy

[17] Careggi Univ Hosp, Dept Otorhinolaryngol, Florence, Italy

来源：

FRONTIERS IN ALLERGY | 2023年 / 4卷

关键词：

CRS; type; 2; crs; biologic; pathway; multidisciplinary; NASAL POLYPS; MANAGEMENT; ALLERGY; TOOLS;

D O I：

10.3389/falgy.2023.1237131

中图分类号：

R392 [医学免疫学];

学科分类号：

100102 ;

摘要：

Chronic rhinosinusitis (CRS) is a complex and heterogeneous disorder whose etiopathogenetic picture is not yet completely known and is classically divided into CRS with (CRSwNP) and without nasal polyps (CRSsNP). But today the distinction is made with type 2 and nontype 2 variants. A rational and defined pathway for the diagnosis of chronic rhinosinusitis is an indispensable means to be able to arrive at a correct identification of the patient. This typing is essential to be able to arrive at the correct course of treatment, which turns out to be different for different types of patients. For this reason, the realization of a diagnostic therapeutic pathway represents a fundamental way for the otolaryngologist specialist but not only, since today diagnostics has a multidisciplinary framework. In the present work, precise indications have been developed to arrive at a correct diagnosis. The various diagnostic pathways and processes to arrive at a correct therapeutic framing have been highlighted. Therapy ranging from medical therapy to surgical therapy without neglecting the new biological therapies. It does not represent a guideline but a diagnostic method that can be adapted to all the various territorial realities.

引用

页数：10

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