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Saturday, September 01, 2012
Concept of unified airway
According to European rhinological society guidelines chronic rhinosinusitis with nasal polypi and chronic rhinosinusitis without nasal polypi are two different entities. This article attempts to review published literature which attempts to study link between nasal polyposis and lower airway disorders. The concept of unified airway attempts precisely to explain this linkage. Developmentally and functionally it makes sense to combine both upper and lower airways in studying pathophysiology of various airway disorders.
An attempt to define the following terminologies will not be out of place.
Rhinosinusitis / Nasal polyposis:
Number of authors have attempted to define this condition, majority of these definitions were based on symptomatology and duration of the disease. Till date there is no universally accepted definition of this condition 1. European rhinological society has stepped in to define rhinosinusitis in unambiguous terms.
The concept of unified airway disorders has infact shifted the focus from individually managing various disorders affecting the components of airway to that of unified management modality. This calls for multidisciplinary approach in managing these patients in an optimal manner. Specialities involved in designing management protocol for unified airway disorders include Thoracic medicine and otolaryngologists.