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Management of CRSwNP in Latin America: A multidisciplinary consensus from an expert working group.
Maspero, Jorge F; Anselmo-Lima, Wilma; Bedoya, David; Jimenez Chobillón, Marcos Alejandro; Ospina, Javier; Roithmann, Renato; Sadek Gonzalez, Andrés; Silva Rueda, Ricardo.
Afiliação
  • Maspero JF; Fundación CIDEA, Buenos Aires, Argentina.
  • Anselmo-Lima W; Ribeirao Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
  • Bedoya D; Department of Otorhinolaryngology, Universidad de Antioquia, Medellin, Colombia.
  • Jimenez Chobillón MA; National Institute for Respiratory Diseases, Mexico City, Mexico.
  • Ospina J; Division of Otolaryngology - Sinus and Skull Base Surgery, Fundación Santa Fe de Bogotá, Bogotá, Colombia.
  • Roithmann R; Universidade Luterana do Brasil, Faculdade de Medicina, Porto Alegre, RS, Brazil.
  • Sadek Gonzalez A; Hospital Angeles del Pedregal, Camino a Santa Teresa 1055, Delegacion Alvaro Obregon, CP10700 Mexico City, Mexico.
  • Silva Rueda R; Department of Otorhinolaryngology, Hospital Militar Central, Bogotá, Colombia.
World Allergy Organ J ; 17(3): 100886, 2024 Mar.
Article em En | MEDLINE | ID: mdl-38463018
ABSTRACT
Chronic rhinosinusitis with nasal polyps (CRSwNP) is an inflammatory condition of the nasal and paranasal tissues, characterized by the presence of bilateral nasal polyps. While etiology and pathogenetic mechanisms are heterogeneous and complex, in most patients, disease is mediated predominantly through type 2 inflammatory processes. Clinical management is challenging, and a multidisciplinary approach is preferred. Principal treatment approaches are the use of local/systemic corticosteroids and sinonasal surgery, although outcomes can be unsatisfactory. Recent availability of biological therapies targeting underlying inflammatory processes can offer effective treatment options in uncontrolled disease. Specialist guidelines greatly assist clinical decision-making, although as these are chiefly written from a global/international perspective, they may not wholly accommodate disease patterns and clinical practice at a regional level. An expert panel of specialists from Latin America was convened to develop regional guidance on the management of CRSwNP through a consensus approach. The present article presents the chief observations and recommendations which can provide guidance for clinicians in the Latin American region.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: World Allergy Organ J Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Argentina País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: World Allergy Organ J Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Argentina País de publicação: Estados Unidos