Treatment Strategy of Uncontrolled Chronic Rhinosinusitis with Nasal Polyps: A Review of Recent Evidence
- PMID: 36902445
- PMCID: PMC10002552
- DOI: 10.3390/ijms24055015
Treatment Strategy of Uncontrolled Chronic Rhinosinusitis with Nasal Polyps: A Review of Recent Evidence
Abstract
Chronic rhinosinusitis (CRS) is recognized as a heterogeneous disease with a wide range of clinical features, resulting in significant morbidity and cost to the healthcare system. While the phenotypic classification is determined by the presence or absence of nasal polyps and comorbidities, the endotype classification has been established based on molecular biomarkers or specific mechanisms. Research on CRS has now developed based on information based on three major endotypes: types 1, 2, and 3. Recently, biological therapies targeting type 2 inflammation have been clinically expanded and may be applied to other inflammatory endotypes in the future. The purpose of this review is to discuss the treatment options according to the type of CRS and summarize recent studies on new therapeutic approaches for patients with uncontrolled CRS with nasal polyps.
Keywords: biologics; chronic rhinosinusitis; endotype; nasal polyps; pharmacotherapy; surgery.
Conflict of interest statement
The authors declare no conflict of interest.
Similar articles
-
Innovative treatments for severe uncontrolled chronic rhinosinusitis with nasal polyps.Expert Rev Clin Immunol. 2023 Jul-Dec;19(8):837-845. doi: 10.1080/1744666X.2023.2206120. Epub 2023 Apr 24. Expert Rev Clin Immunol. 2023. PMID: 37083285 Review.
-
Diverse Endotypes of Chronic Rhinosinusitis and Clinical Implications.Clin Rev Allergy Immunol. 2023 Dec;65(3):420-432. doi: 10.1007/s12016-023-08976-y. Epub 2024 Jan 4. Clin Rev Allergy Immunol. 2023. PMID: 38175322 Review.
-
[Difficult-to-treat chronic rhinosinusitis-when the standard treatment is not effective and biologics are not available].HNO. 2024 Apr;72(4):231-241. doi: 10.1007/s00106-024-01443-w. Epub 2024 Mar 12. HNO. 2024. PMID: 38472346 Review. German.
-
Endotype-driven precision medicine in chronic rhinosinusitis.Expert Rev Clin Immunol. 2019 Nov;15(11):1171-1183. doi: 10.1080/1744666X.2020.1679626. Epub 2019 Oct 22. Expert Rev Clin Immunol. 2019. PMID: 31600458 Review.
-
Endotypes of chronic rhinosinusitis: Relationships to disease phenotypes, pathogenesis, clinical findings, and treatment approaches.Allergy. 2022 Mar;77(3):812-826. doi: 10.1111/all.15074. Epub 2021 Sep 15. Allergy. 2022. PMID: 34473358 Free PMC article. Review.
Cited by
-
Real-Life Effects of Omalizumab on Chronic Rhinosinusitis with Nasal Polyposis.J Pers Med. 2023 Dec 19;14(1):3. doi: 10.3390/jpm14010003. J Pers Med. 2023. PMID: 38276218 Free PMC article.
-
Biologics for Chronic Rhinosinusitis-A Modern Option for Therapy.Life (Basel). 2023 Nov 5;13(11):2165. doi: 10.3390/life13112165. Life (Basel). 2023. PMID: 38004305 Free PMC article. Review.
-
IL-1β-induced epithelial cell and fibroblast transdifferentiation promotes neutrophil recruitment in chronic rhinosinusitis with nasal polyps.Nat Commun. 2024 Oct 22;15(1):9101. doi: 10.1038/s41467-024-53307-0. Nat Commun. 2024. PMID: 39438439 Free PMC article.
-
Efficacy of different biologics for treating chronic rhinosinusitis with nasal polyps: a network meta-analysis.Eur Arch Otorhinolaryngol. 2025 Feb;282(2):559-569. doi: 10.1007/s00405-024-08903-7. Epub 2024 Aug 26. Eur Arch Otorhinolaryngol. 2025. PMID: 39187717
-
Biologics for Chronic Rhinosinusitis With Nasal Polyps: Current Status and Clinical Considerations in Korea.J Rhinol. 2025 Mar;32(1):1-9. doi: 10.18787/jr.2025.00002. Epub 2025 Mar 21. J Rhinol. 2025. PMID: 40169027 Free PMC article. Review.
References
-
- Dietz de Loos D., Lourijsen E.S., Wildeman M.A.M., Freling N.J.M., Wolvers M.D.J., Reitsma S., Fokkens W.J. Prevalence of chronic rhinosinusitis in the general population based on sinus radiology and symptomatology. J. Allergy Clin. Immunol. 2019;143:1207–1214. doi: 10.1016/j.jaci.2018.12.986. - DOI - PubMed
-
- Tomassen P., Vandeplas G., Van Zele T., Cardell L.O., Arebro J., Olze H., Forster-Ruhrmann U., Kowalski M.L., Olszewska-ziaber A., Holtappels G., et al. Inflammatory endotypes of chronic rhinosinusitis based on cluster analysis of biomarkers. J. Allergy Clin. Immunol. 2016;137:1449–1456. doi: 10.1016/j.jaci.2015.12.1324. - DOI - PubMed
-
- Fokkens W.J., Lund V.J., Hopkins C., Hellings P.W., Kern R., Reitsma S., Cohen N., Cervin A., Douglas R., Gevaert P., et al. EPOS 2012, European position paper on rhinosinusitis and nasal polyps 2012. A summary for otorhinolaryngologists. Rhinology. 2012;50:1–12. doi: 10.4193/Rhino12.000. - DOI - PubMed
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical