Peri-surgical Management of Chronic Rhinosinusitis—Survey for Japanese University Hospitals—

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  • Shimamura Ayumi
    Department of Otolaryngology, Head and Neck Surgery/Allergy Center, University of Yamanashi
  • Kamijo Atsushi
    Department of Otolaryngology, Head and Neck Surgery/Allergy Center, University of Yamanashi Department of Otolaryngology/Allergy Center, Saitama Medical University
  • Takeno Sachio
    Department of Otolaryngology, Head and Neck Surgery, Hiroshima University
  • Ishino Takashi
    Department of Otolaryngology, Head and Neck Surgery, Hiroshima University
  • Masuyama Keisuke
    Department of Otolaryngology, Head and Neck Surgery/Allergy Center, University of Yamanashi

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  • 慢性副鼻腔炎の周術期管理の現状―全国の大学病院を対象としたアンケート調査より―

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<p>In Japan, chronic rhinosinusitis (CRS) is classified according to the presence or absence of nasal polyps, degree of eosinophilic inflammation, involvement of pathogenic of fungi, etc. Recently, the JESREC (Japanese Epidemiological Survey of Refractory Eosinophilic Chronic Rhinosinusitis) study established diagnostic criteria for eosinophilic chronic rhinosinusitis (ECRS), a phenotypes of CRS. It is expected that treatment guidelines based on the differences in the rhinosinusitis phenotypes will be developed in the future. Although, there is still no gold standard for the treatment of CRS, numerous facilities are devising various protocols to treat CRS. In order to better understand the current treatment approaches for CRS, we created a questionnaire to be completed by all university hospitals in Japan.</p><p>Questionnaires were sent to 122 facilities at university hospitals and completed anonymously by 80% of the facilities. The items surveyed focused on determining both the surgical indications and the surgical management of CRS.</p><p>The postsurgical treatments used for ECRS and for non-eosinophilic chronic rhinosinusitis (NECRS) were significantly different. Also, the treatment for ECRS varied among the facilities, and, in particular, the dosage and the duration of oral corticosteroid use varied.</p><p>Proper management of CRS is very important. This survey revealed that the treatment policies for CRS between institutions are not unified. It is expected that an appropriate treatment method will be selected based on either the phenotype or endotype of the disease in the near future.</p>

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