Chronic nasal dysfunction.
Fiche publication
Date publication
février 2018
Journal
European annals of otorhinolaryngology, head and neck diseases
Auteurs
Membres identifiés du Cancéropôle Est :
Pr JANKOWSKI Roger, Dr TOUSSAINT Bruno, Pr GALLET Patrice
Tous les auteurs :
Jankowski R, Nguyen DT, Russel A, Toussaint B, Gallet P, Rumeau C
Lien Pubmed
Résumé
Chronic nasal dysfunction is a clinical concept in the diagnostic and therapeutic management of sinonasal diseases, based on the evo-devo theory of formation of the nose according to which the nose is not a single organ but rather an association of three organs: olfactory nose, respiratory nose and paranasal sinuses. In chronic nasal dysfunction theory, etiological diagnosis takes account of the possible pathophysiological independence of nasal symptoms, in accordance with the different origins and physiology of the three organs constituting the nose. The diagnostic approach of the chronic nasal dysfunction concept breaks down the pathology so as to propose treatment(s) adapted to the diseased organ(s) and to the capacity for physiological resolution of dysfunction induced in one organ by pathology in a neighboring nasal organ. The ethmoid is not a sinus according to evo-devo, and therefore functional endoscopic endonasal surgery (FEES) cannot be restricted to functional endoscopic sinus surgery (FESS). Evo-devo theory and the chronic nasal dysfunction concept offer an alternative to the concept of chronic rhinosinusitis with or without polyps for the management of sinonasal diseases.
Mots clés
Chronic rhinosinusitis, Endoscopic sinus surgery, Ethmoid, Nasal obstruction, Nasal polyps, Olfaction
Référence
Eur Ann Otorhinolaryngol Head Neck Dis. 2018 Feb;135(1):41-49