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Rhinology/Allergy

Difficult Nasal Polyps: AFS and AERD Success Strategies

Wednesday, October 4, 2023
10:30 AM - 11:30 AM East Coast USA Time
Location: 103BC

    Lead Presenter(s)

  • Nithin D. Adappa, MD

    Associate Professor
    Department of Otorhinolaryngology – Head & Neck Surgery, University of Pennsylvania
    Philadelphia, PA, United States

    • Co-Presenter(s)

  • JP

    James N. Palmer, MD

    Professor
    University of Pennsylvania
    Philadelphia, PA, United States

Disclosure(s):
Nithin D. Adappa, MD: No relevant relationships to disclose.
PROGRAM DESCRIPTION: Chronic sinusitis with nasal polyposis has a detrimental impact on quality of life and may exacerbate coexisting conditions such as asthma. This presentation will outline the latest theories on disease pathogenesis as well as promote rational medical and surgical strategies for severe nasal polyposis management, specifically the two toughest areas of nasal polyposis to treat - Allergic Fungal Sinusitis (AFS) and Asprin-Exacerbated Respiratory Disease (AERD) Treatments designed to decrease reliance on systemic steroids including surgical methods and complementary medical therapeutics such as topical steroid irrigations, macrolides, and anti-leukotrienes will be discussed. We will provide the latest innovations in medical and surgical treatments through a case-based approach of difficult patients and strategies for success illustrating these advancements.

OUTCOME OBJECTIVE 1: Describe current pathogenesis theories of nasal polyposis in AFS and AERD.

OUTCOME OBJECTIVE 2: Recognize the newest medical and surgical treatments for nasal polyposis in AFS and AERD

OUTCOME OBJECTIVE 3: Initiate additional therapeutic measures for successful long-term treatment of nasal polyposis in AFS and AERD

BACKGROUND STATEMENT: Both entities are clinically challenging to provide long-term effective treatment. Currently, with increasing biologic usage (also this role in the treatment is discussed), we feel it is of paramount importance to understand and implement non-biologic treatment strategies as well.