Modernes Management der chronischen Rhinosinusitis

Mit dem Einzug der Biologika-Therapie in die Behandlung der chronischen Rhinosinusitis (CRS) während der letzten Jahre ergeben sich weitreichende Neuerungen des Managements der Erkrankung. Vor diesem Hintergrund bietet dieser Beitrag einen generellen Überblick über die konservativen und operativen Therapieschritte der modernen Behandlung der chronischen Rhinosinusitis.

Abstract

Chronic rhinosinusitis is a common disease. Due to the significant reduction of the quality of life, possible serious complications and economic consequences, a sufficient therapy is essential. With the entry of biologics into the treatment of chronic rhinosinusitis, relevant innovations have emerged in recent years. This article is aimed at providing an up-to-date overview of the conservative and surgical treatment options for chronic rhinosinusitis.

Kernaussagen

• Wegen der Einschränkung der Lebensqualität, sozioökonomischer Folgen und drohender Komplikationen ist die adäquate Therapie der CRS essenziell.

• Erstlinientherapie ist eine angemessene medikamentöse Therapie (AMT) bestehend aus topischen Glukokortikoiden und Nasenspülungen.

• Bei unzureichender Besserung unter AMT sollte die Indikation zur chirurgischen Therapie geprüft werden – in Einzelfällen auch zur oralen Glukokortikoidtherapie.

• Bei schwerer CRScNP ist die (mehrfache) chirurgische Therapie gegenüber der Biologika-Therapie abzuwägen.

Schlüsselwörter

chronische Rhinosinusitis - nasale Polyposis - Überblick

Keywords

chronic rhinosinusitis - nasal polyps - overview

Publication History

Article published online:
11 June 2024

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