作者: Alan Shikani , Konstantinos Kourelis
DOI: 10.2174/1872213X09666150531174219
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摘要: Chronic Rhinosinusitis (CRS), one of the commonest chronic inflammatory disorders, is encountered daily in all healthcare settings. In its refractory form, CRS seems to prevail over most up-to-date surgical interventions and systemic medical remedies, owing our poor understanding perplexing pathophysiology. Although several influences impinge on progression inflammation, true interplay between offensive defensive factors takes place on-site, i.e. across sinonasal epithelial coating. Therefore, current treatment strategies shift weight management toward topical modalities, which combine benefits approach with healing effect conventional medications. An explosive emergence relevant patents still progress, emphasizing need for classification comparison. Novel delivery methods medications into sinus cavities include modifications traditional rinses, state-of-the-art nebulizing devices, revolutionary concept sustained drug application utilizing carrier gels or nasal implants. As far as introduction new concerned, recent propose alterations physical chemical properties irrigating solutions, well local use antiseptics, hydragogues, anti-biofilm agents. This review focuses pathophysiologic events exciting innovations regarding management.