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Bronchial asthma control after argon plasma coagulation turbinectomy in patients with chronic rhinitis

Bronchial asthma is frequently accompanied by chronic rhinitis. It has been observed that effective treatment of rhinitis may reduce asthma symptoms. The aim of the study was the evaluation of the control of bronchial asthma symptoms in patients with chronic rhinitis after argon plasma coagulation t...

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Autores principales: Jura-Szołtys, Edyta, Ficek, Rafał, Ficek, Joanna, Markowski, Jarosław, Chudek, Jerzy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4010716/
https://www.ncbi.nlm.nih.gov/pubmed/24141470
http://dx.doi.org/10.1007/s00405-013-2762-z
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author Jura-Szołtys, Edyta
Ficek, Rafał
Ficek, Joanna
Markowski, Jarosław
Chudek, Jerzy
author_facet Jura-Szołtys, Edyta
Ficek, Rafał
Ficek, Joanna
Markowski, Jarosław
Chudek, Jerzy
author_sort Jura-Szołtys, Edyta
collection PubMed
description Bronchial asthma is frequently accompanied by chronic rhinitis. It has been observed that effective treatment of rhinitis may reduce asthma symptoms. The aim of the study was the evaluation of the control of bronchial asthma symptoms in patients with chronic rhinitis after argon plasma coagulation turbinectomy (APCt). The effect of APCt was assessed in 47 adults with drug-resistant chronic rhinitis and bronchial asthma 3-month post-procedure. Changes of asthma symptoms were scored using Asthma Control Test (ACT). Subjective improvement of nasal congestion 3 months after APCt was observed in 87 % and of rhinorrhoea in 75 % patients. Rhinomanometry showed 219 ± 19 cm³/s increase of flow and 0.75 ± 0.06 Pa/cm³/s reduction of resistance. The prevalence of patients with insufficient bronchial asthma control decreased from 79 to 4 %. The decrease was associated with diminished frequency of eosinophils >20 % in nasal cytology from 83 % pre-procedure to 28 % in the follow-up. The percentage of eosinophils >20 % in cytology before APCt increased the chance for asthma control improvement by 22.8 times. Reduction in symptoms of drug-resistant rhinitis after APCt is followed by significant improvement of asthma control. The most beneficial therapeutic effects of APCt are noted in patients with a high rate of eosinophils in nasal cytology.
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spelling pubmed-40107162014-05-07 Bronchial asthma control after argon plasma coagulation turbinectomy in patients with chronic rhinitis Jura-Szołtys, Edyta Ficek, Rafał Ficek, Joanna Markowski, Jarosław Chudek, Jerzy Eur Arch Otorhinolaryngol Rhinology Bronchial asthma is frequently accompanied by chronic rhinitis. It has been observed that effective treatment of rhinitis may reduce asthma symptoms. The aim of the study was the evaluation of the control of bronchial asthma symptoms in patients with chronic rhinitis after argon plasma coagulation turbinectomy (APCt). The effect of APCt was assessed in 47 adults with drug-resistant chronic rhinitis and bronchial asthma 3-month post-procedure. Changes of asthma symptoms were scored using Asthma Control Test (ACT). Subjective improvement of nasal congestion 3 months after APCt was observed in 87 % and of rhinorrhoea in 75 % patients. Rhinomanometry showed 219 ± 19 cm³/s increase of flow and 0.75 ± 0.06 Pa/cm³/s reduction of resistance. The prevalence of patients with insufficient bronchial asthma control decreased from 79 to 4 %. The decrease was associated with diminished frequency of eosinophils >20 % in nasal cytology from 83 % pre-procedure to 28 % in the follow-up. The percentage of eosinophils >20 % in cytology before APCt increased the chance for asthma control improvement by 22.8 times. Reduction in symptoms of drug-resistant rhinitis after APCt is followed by significant improvement of asthma control. The most beneficial therapeutic effects of APCt are noted in patients with a high rate of eosinophils in nasal cytology. Springer Berlin Heidelberg 2013-10-19 2014 /pmc/articles/PMC4010716/ /pubmed/24141470 http://dx.doi.org/10.1007/s00405-013-2762-z Text en © The Author(s) 2013 https://creativecommons.org/licenses/by/2.0/ Open AccessThis article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Rhinology
Jura-Szołtys, Edyta
Ficek, Rafał
Ficek, Joanna
Markowski, Jarosław
Chudek, Jerzy
Bronchial asthma control after argon plasma coagulation turbinectomy in patients with chronic rhinitis
title Bronchial asthma control after argon plasma coagulation turbinectomy in patients with chronic rhinitis
title_full Bronchial asthma control after argon plasma coagulation turbinectomy in patients with chronic rhinitis
title_fullStr Bronchial asthma control after argon plasma coagulation turbinectomy in patients with chronic rhinitis
title_full_unstemmed Bronchial asthma control after argon plasma coagulation turbinectomy in patients with chronic rhinitis
title_short Bronchial asthma control after argon plasma coagulation turbinectomy in patients with chronic rhinitis
title_sort bronchial asthma control after argon plasma coagulation turbinectomy in patients with chronic rhinitis
topic Rhinology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4010716/
https://www.ncbi.nlm.nih.gov/pubmed/24141470
http://dx.doi.org/10.1007/s00405-013-2762-z
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