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13 Cards in this Set

  • Front
  • Back
3 diseases most commonly associated with nasal polyposis
Asthma
CF
Aspirin sensitivity
% of patients with ASA sensitivity that have nasal polyps
40-80%
% of patients with nasal polyps who have ASA sensitivity
15%
% of CF patients who have nasal polyps
37-48%
From what anatomic site do most nasal polyps originate?
cleft of middle nasal meatus
Typical symptom of nasal polyps that differentiates nasal polyps from chronic sinusitis without polyps
anosmia
Does nasal polyposis cause pain?
No
What percentage of patients with nasal polyps have asthma?
20-70%
Typical presentation for Samter's triad.
--prolonged common cold in 3rd or 4th decade with nasal congestion, rhinorrhea, post-nasal drip, hyposmia.
--nasal polyposis within a few years.
--Asthma develops
--ASA sensitivity
What chemical pathway is thought to be responsible for ASRS?
--Arachidonic acid
Treatment for ASRS
--ASA avoidance
--oral and/or topical steroids
--LTRA's
--ASA desensitization
--Sinus surgery
Benefits of ASA desensitization in ASRS
--decreased incidence of sinusitis
--decreased admission rate for asthma
--improved olfaction
--decreased number of sinus surgeries
Benefits of sinus surgery in ASRS
--improved asthma control