Journal of Rhinology 2007;14(1):45-48.
Published online May 31, 2007.
The Effect of Lower Airway Disease on the Severity of Chronic Rhinosinusitis
Yoon Kyoung So, Hun Jong Dhong, Hyo Yeol Kim, Seung Kyu Chung
Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
하기도 질환이 만성 비부비동염의 중증도에 미치는 영향
소윤경, 동헌종, 김효열, 정승규
성균관대학교 의과대학 이비인후과학교실
Background and Objectives
The relationship between the upper airway disease and the lower airway disease has been studied for several decades. In this study, we propose to investigate the prevalence of asthma, asymptomatic bronchial hyperresponsiveness (aBHR) and small airway disease among the chronic rhinosinusitis (CRS) patients and to evaluate their influence on the severity of CRS. MATERIAL AND METHODS: For the evaluation of lower airway diseases, sixty-eight adult patients with CRS underwent skin prick tests, pulmonary function tests with or without bronchodilator tests and methacholine bronchial provocation tests. The severity of CRS was determined in accordance to three factors ; subjective symptoms, the degree of nasal polyposis and the extent of disease on the CT scan.
Asthma, aBHR and small airway disease were diagnosed among seven (10.3%), five (7.4%) and eleven (16.2%) patients, respectively. The lower airway diseases had no significant influence on the severity of CRS.
CRS patients may have various lower airway diseases, symptomatic or asymptomatic, which should be considered when managing CRS patients.
Key Words: Chronic rhinosinusitis;Lower airway disease;Asthma;Asymptomatic bronchial hyperresponsiveness;Small airway disease

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