Then we can add to that the significant amount of asymptomatic sinonasal disease…of which the drainage is often so intermittent we may not even see it on our exams. And we all know about the complexities of the reactive airway syndrome, bridging allergic rhinitis, sinusitis, reactive airway disease, and bronchitis.
Dr. Altman then posed questions concerning the impact of rhinological disease on the larynx, determining what is responsible for the symptom of postnasal drip, the impact of extraesophageal reflux on rhinitis and sinusitis, the role of the autonomic nervous system in specific clinical cases, and the ideal management approach to patients with these disorders.
Careful Diagnosis Necessary
Michael S. Benninger, MD, of the Henry Ford Health System in Detroit, was the first to discuss his research, detailing his findings regarding the frequency of laryngeal disease-not simply reflux-being mistaken for a nasal or sinus disorder.