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European Archives of Oto-Rhino-Laryngology

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Open Access 01-06-2014 | Rhinology

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

Authors: Edyta Jura-Szołtys, Rafał Ficek, Joanna Ficek, Jarosław Markowski, Jerzy Chudek

Published in: European Archives of Oto-Rhino-Laryngology | Issue 6/2014

Abstract

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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Title: Bronchial asthma control after argon plasma coagulation turbinectomy in patients with chronic rhinitis
Authors: Edyta Jura-Szołtys
Rafał Ficek
Joanna Ficek
Jarosław Markowski
Jerzy Chudek
Publication date: 01-06-2014
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology / Issue 6/2014
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-013-2762-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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