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Int. Rev. Allergol. Clin. Immunol. Family Med., 2019, XXV/2: 053-056 Maximize

Int. Rev. Allergol. Clin. Immunol. Family Med., 2019, XXV/2: 053-056

Title: Classification and risk factors for the occurrence of rhinitis of the nasal cavities and paranasal sinuses 

Author: Wojdas A. 

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02-02-2019

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SUMMARY IN POLISH & ENGLISH. FULL ARTICLE ONLY IN POLISH.

Classification and risk factors for the occurrence of rhinitis of the nasal cavities and paranasal sinuses

Wojdas A.

Clinic of Otolaryngology of the Military Institute of Aviation Medicine in Warsaw

International Review of Medical Practice, 2019; Vol. 25, No. 2, 053

Inflammation of the paranasal sinuses is a heterogeneous group of diseases not fully explained by pathogenesis. Increasingly, the term rhinosinusitis is used to emphasize the functional continuity of the mucous membrane of the nasal cavity and paranasal sinuses. The adopted division of inflammation of the nasal cavity and paranasal sinuses includes acute and chronic inflammation of the nasal cavity and paranasal sinuses. The incidence of rhinitis of the nasal cavities and paranasal sinuses is found in 12-16% of the adult population. Diagnosis of chronic mucositis of nasal cavities and paranasal sinuses with polyps should be confirmed by endoscopic examination. The main cause of the disease is the obstruction of the open-terminal complex, which in turn leads to insufficiency of drainage, cilia movement disorders and mucosal edema, which promotes the development of nasal sinus infection. The formation of bacterial biofilm in chronic rhinosinusitis is increasingly important, for which Staphylococcus aureus (65%) is most often responsible, including 29% of methicillin-resistant coagulase-negative (MRCoNS – methicillin resistant coagulase negative Staphylococcus ), as well as 6% Klebsiella pneumoniae. Depending on the phenotype of the disease, it is possible to demonstrate the mutual conditioning of the mechanisms of allergic reaction and chronic rhinosinusitis of nasal cavities and paranasal sinuses, which, however, requires further research.

Key words: chronic rhinosinusitis, division, biofilm, allergy