Literature Review: A Roundup of Important Recent Studies

• Wide Variation in Maximal Medical Therapy for CRS
• "Sinus Headache" Diagnosis and Treatment
• Hospital-Acquired Conditions after HN Cancer Surgery Uncommon but Costly
• Tympanoplasty Plus Mastoidectomy in Perforations
• Transoral BOT Resection Effective for OSA
• Type I GPT Improves Vocal Outcomes in GI

Wide Variation in Maximal Medical Therapy for CRS

What is maximal medical therapy for chronic rhinosinusitis?

Background: Even 27 years after the introduction of endoscopic diagnosis and treatment of chronic rhinosinusitis (CRS), “maximal medical therapy” has not been defined. In its clinical indicators, the American Academy of Otolaryngology-Head and Neck Surgery recommends three weeks of an antibiotic with a topical steroid. A recent survey from the American Rhinologic Society indicated that the majority of respondents also used an oral steroid, achieving good results in CRS with polyposis, allergic fungal sinusitis and CRS without polyposis. This current study was designed to shed some light on the topic.

Study design: A survey of 603 otolaryngology consultants in the UK to assess prescription, duration and type of medical therapy for CRS.