Treatment Strategy of Uncontrolled Chronic Rhinosinusitis with Nasal Polyps: A Review of Recent Evidence

Chronic rhinosinusitis (CRS) is recognized as a heterogeneous disease with a wide range of clinical features, resulting in significant morbidity and cost to the healthcare system. While the phenotypic classification is determined by the presence or absence of nasal polyps and comorbidities, the endo...

Full description

Bibliographic Details
Main Authors: Sung-Dong Kim, Kyu-Sup Cho
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/5/5015
_version_ 1797615114752360448
author Sung-Dong Kim
Kyu-Sup Cho
author_facet Sung-Dong Kim
Kyu-Sup Cho
author_sort Sung-Dong Kim
collection DOAJ
description Chronic rhinosinusitis (CRS) is recognized as a heterogeneous disease with a wide range of clinical features, resulting in significant morbidity and cost to the healthcare system. While the phenotypic classification is determined by the presence or absence of nasal polyps and comorbidities, the endotype classification has been established based on molecular biomarkers or specific mechanisms. Research on CRS has now developed based on information based on three major endotypes: types 1, 2, and 3. Recently, biological therapies targeting type 2 inflammation have been clinically expanded and may be applied to other inflammatory endotypes in the future. The purpose of this review is to discuss the treatment options according to the type of CRS and summarize recent studies on new therapeutic approaches for patients with uncontrolled CRS with nasal polyps.
first_indexed 2024-03-11T07:21:56Z
format Article
id doaj.art-c4dd84f932d7474ebf4a53d7f0f25c13
institution Directory Open Access Journal
issn 1661-6596
1422-0067
language English
last_indexed 2024-03-11T07:21:56Z
publishDate 2023-03-01
publisher MDPI AG
record_format Article
series International Journal of Molecular Sciences
spelling doaj.art-c4dd84f932d7474ebf4a53d7f0f25c132023-11-17T07:56:34ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-03-01245501510.3390/ijms24055015Treatment Strategy of Uncontrolled Chronic Rhinosinusitis with Nasal Polyps: A Review of Recent EvidenceSung-Dong Kim0Kyu-Sup Cho1Department of Otorhinolaryngology and Biomedical Research Institute, Pusan National University School of Medicine, Pusan National University Hospital, 179 Gudeok-Ro, Seo-gu, Busan 602-739, Republic of KoreaDepartment of Otorhinolaryngology and Biomedical Research Institute, Pusan National University School of Medicine, Pusan National University Hospital, 179 Gudeok-Ro, Seo-gu, Busan 602-739, Republic of KoreaChronic rhinosinusitis (CRS) is recognized as a heterogeneous disease with a wide range of clinical features, resulting in significant morbidity and cost to the healthcare system. While the phenotypic classification is determined by the presence or absence of nasal polyps and comorbidities, the endotype classification has been established based on molecular biomarkers or specific mechanisms. Research on CRS has now developed based on information based on three major endotypes: types 1, 2, and 3. Recently, biological therapies targeting type 2 inflammation have been clinically expanded and may be applied to other inflammatory endotypes in the future. The purpose of this review is to discuss the treatment options according to the type of CRS and summarize recent studies on new therapeutic approaches for patients with uncontrolled CRS with nasal polyps.https://www.mdpi.com/1422-0067/24/5/5015chronic rhinosinusitisnasal polypsendotypepharmacotherapybiologicssurgery
spellingShingle Sung-Dong Kim
Kyu-Sup Cho
Treatment Strategy of Uncontrolled Chronic Rhinosinusitis with Nasal Polyps: A Review of Recent Evidence
International Journal of Molecular Sciences
chronic rhinosinusitis
nasal polyps
endotype
pharmacotherapy
biologics
surgery
title Treatment Strategy of Uncontrolled Chronic Rhinosinusitis with Nasal Polyps: A Review of Recent Evidence
title_full Treatment Strategy of Uncontrolled Chronic Rhinosinusitis with Nasal Polyps: A Review of Recent Evidence
title_fullStr Treatment Strategy of Uncontrolled Chronic Rhinosinusitis with Nasal Polyps: A Review of Recent Evidence
title_full_unstemmed Treatment Strategy of Uncontrolled Chronic Rhinosinusitis with Nasal Polyps: A Review of Recent Evidence
title_short Treatment Strategy of Uncontrolled Chronic Rhinosinusitis with Nasal Polyps: A Review of Recent Evidence
title_sort treatment strategy of uncontrolled chronic rhinosinusitis with nasal polyps a review of recent evidence
topic chronic rhinosinusitis
nasal polyps
endotype
pharmacotherapy
biologics
surgery
url https://www.mdpi.com/1422-0067/24/5/5015
work_keys_str_mv AT sungdongkim treatmentstrategyofuncontrolledchronicrhinosinusitiswithnasalpolypsareviewofrecentevidence
AT kyusupcho treatmentstrategyofuncontrolledchronicrhinosinusitiswithnasalpolypsareviewofrecentevidence