鼻窦炎 过敏性鼻炎 鼻息肉.ppt

Treatment： 1、conservative treatment - corticosteroids  - macrolides - anti-Leukotrience 2、surgical treatment 3、combined treatment Nasal Polyp Nasal Polyposis * 以美国为例说明鼻窦炎的危害 * * * * * * * 上颌窦炎 * 蝶窦炎 * 全组鼻窦炎（上颌窦、筛窦、蝶窦积脓） * 全组鼻窦炎 * 全组鼻窦炎 * 全组鼻窦炎 * 自然界存在多种可引发过敏性鼻炎的过敏原：动物和人的毛发，皮肤粒子(头皮屑)和唾液、羽毛，霉菌的孢子，尘螨，植物花粉颗粒，等等 Allergic Fungal Sinusitis Fungal ball Treatment： 1、Intranasal medications：Corticosteroid 2、long-term macrolide 3 、mucolytics 4 、 Vasoconstrictor sympsthomimetics 5 、Puncture and irrigation of maxillary sinus、  Displacement method——frontal sinusitis,  ethmoidal sinusitis, sphenoidal sinusitis, pansinusitis 6、Surgery——traditional sinus surgery  Functional Endoscopic Sinus Surgery(FESS)  Chronic sinusitis Functional Endoscopic Sinus Surgery (FESS) Allergic rhinitis Is chronic nasal mucosa inflammation, mediated by IgE, induced by inflammatory mediator derived from kinds of immunologic-active, pro-inflammatory, and cytokines Allergic rhinitis Epideminology of allergic rhinitis Prevalence :10-25% Increase rapidly in the past decades （ ARIA report） ARIA 2001 ARIA 2008 ARIA (Allergic Rhinitis and its Impact on Asthma) 2001年与WHO合作 37位作者 55个组织, 其中亚洲有: Hongkong college of ENT. Japan Rhinology Society Korean Rhinology Society Malaysion socity of oto-Has Philippine ENT Society Singapore ENT Society Thai Rhinology Society 2776篇参考文献 187页 J allergy and Clinical Immunology 2001,108,s147-s334 * ARIA Pocket Guide:52 Translations 52种文字 Morbidity: 10% Inhalant allergens——dust mite, house dust,  pollen, fungi, animal danders, cockroach； Food allergens——milk, eggs, fish and shrimp,  meat, vegetables, fruits. Pathology：Type ? allergy Allergic inflammation: Predominant T cells eosinophilic cells infiltrate. Allergic Rhinitis (AR) Allergen mite dander pollen Leather Classification of AR Old Classification: Per