Allergische Rhinitis im Kontext der chronischen Rhinosinusitis

 

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Zusammenfassung

Die chronische Rhinosinusitis gehört zu den häufigsten chronischen Erkrankungen. Eine wichtige Ursache ist die allergische Rhinitis. Beide Erkrankungen und die Kombination von beiden, die im Mittelpunkt dieses Weiterbildungsbeitrags stehen, als auch die Abklärung und Behandlung der Differenzialdiagnosen gehören in die Hände des HNO-Arztes. Letztendlich ist nicht geklärt, warum eine allergische Rhinitis zu einer chronischen Rhinosinusitis führt. Zur Diagnostik und Therapie der allergischen Rhinosinusitis steht als Behandlungsrichtlinie eine Reihe von gut ausgearbeiteten nationalen und internationalen Leitlinien zur Verfügung. Dieser Beitrag stellt die wichtigsten aktuellen diagnostischen und therapeutischen Verfahren zur Behandlung derallergischen Rhinitis im Kindesalter und im Erwachsenenalter vor.

Abstract

Chronic Rhinosinusitis is one of the most frequent chronic diseases. A major cause is allergic rhinitis. Both illnesses and the combination of both, which is the topic of this educational article, as well as the clarification and therapy of differential diagnoses are belonging in the hands of the otorhinolaryngologist. Finally, it is not completely understood which mechanisms of the allergic inflammation in the nose lead or predispose in the individual patient to the development of a chronic sinus disease. A series of excellent national and international guidelines have been published supporting the otorhinolaryngologist in diagnostics and treatment of patients with allergic rhinosinusitis. This article presents the most important and actual diagnostic and therapeutic procedures for the treatment of this important chronic disease in children and adults.

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