Facial pain. Nasal congestion. Postnasal drip. Fatigue. These are hallmark signs of chronic sinusitis, a swelling of tissue in the nasal and sinus cavity. The illness strikes millions of Americans each year and is one of the top five reasons patients visit their primary care doctor.
Treating sinusitis is difficult in part because it's often not known if the cause is viral or bacterial. Unfortunately little information on the subject is available to internists says a new study by a Georgetown University Medical Center (GUMC) internist.
"Chronic sinusitis is an often debilitating illness with symptoms comparable to those of serious medical diseases," says Alexander C. Chester, M.D., a clinical professor at GUMC and practicing internist at Foxhall Internists based in Washington, DC.
Awareness of new developments and findings is crucial for physicians who care for patients with chronic rhinosinusitis or CRS, but Chester's new study finds such new information to be "scant and occasionally inaccurate." His findings are published online in the August issue of the Ear, Nose & Throat Journal.
Rhinosinusitis, also called sinusitis, is an inflammation or swelling of the lining in the sinus cavities. The sinuses are in the hollow spaces in the cheeks and around the eyes. The illness can come and go fast, or hang around for many weeks. It's estimated that more than one out of every 10 Americans presently suffer from it.
Chester says despite 15 years of advances about what is known of the illness, the information isn't making its way to internists because it is not been published in journals or other sources often reviewed by internists.
"Internists who rely on traditional sources of information provided to their specialty may conclude that CRS is not an illness that is often associated with significant morbidity and that endoscopic sinus surgery is not an effective treatment," says Chester. He adds that many internists are unaware that chronic sinusitis can cause serious chronic fatigue.
Traditional sources of information for internists include journals, textbooks, board preparation review material, and Internet databases. Much of this information is provided, directly or indirectly, by the American College of Physicians, the nation's largest medical specialty society.
Chester says if new information is more readily accessible, it would help physicians better treat their patients. He specifically sites the benefits of endoscopic sinus surgery which has replaced older procedures as a safe and effective treatment for CRS that does not respond to medical therapy.
Chester concludes by encouraging "More studies, review articles, and evidence-based analyses need to be submitted for publication in general medical journals." He says papers on chronic sinusitis should be not be presented only at specialty meetings but also at general internal medicine meetings. Finally, Chester suggests establishing formal communication between appropriate otorhinolaryngologic societies and the American College of Physicians to facilitate the education of internists with regard to CRS.
Chester has no related financial interests.
About Georgetown University Medical Center
Georgetown University Medical Center is an internationally recognized academic medical center with a three-part mission of research, teaching and patient care (through MedStar Health). GUMC's mission is carried out with a strong emphasis on public service and a dedication to the Catholic, Jesuit principle of cura personalis -- or "care of the whole person." The Medical Center includes the School of Medicine and the School of Nursing and Health Studies, both nationally ranked, the world-renowned Lombardi Comprehensive Cancer Center and the Biomedical Graduate Research Organization (BGRO), home to 60 percent of the university's sponsored research funding.
Karen Mallet | EurekAlert!
Amputees can learn to control a robotic arm with their minds
28.11.2017 | University of Chicago Medical Center
The importance of biodiversity in forests could increase due to climate change
17.11.2017 | Deutsches Zentrum für integrative Biodiversitätsforschung (iDiv) Halle-Jena-Leipzig
The miniaturization of the current technology of storage media is hindered by fundamental limits of quantum mechanics. A new approach consists in using so-called spin-crossover molecules as the smallest possible storage unit. Similar to normal hard drives, these special molecules can save information via their magnetic state. A research team from Kiel University has now managed to successfully place a new class of spin-crossover molecules onto a surface and to improve the molecule’s storage capacity. The storage density of conventional hard drives could therefore theoretically be increased by more than one hundred fold. The study has been published in the scientific journal Nano Letters.
Over the past few years, the building blocks of storage media have gotten ever smaller. But further miniaturization of the current technology is hindered by...
With innovative experiments, researchers at the Helmholtz-Zentrums Geesthacht and the Technical University Hamburg unravel why tiny metallic structures are extremely strong
Light-weight and simultaneously strong – porous metallic nanomaterials promise interesting applications as, for instance, for future aeroplanes with enhanced...
An interdisciplinary group of researchers interfaced individual bacteria with a computer to build a hybrid bio-digital circuit - Study published in Nature Communications
Scientists at the Institute of Science and Technology Austria (IST Austria) have managed to control the behavior of individual bacteria by connecting them to a...
Physicists in the Laboratory for Attosecond Physics (run jointly by LMU Munich and the Max Planck Institute for Quantum Optics) have developed an attosecond electron microscope that allows them to visualize the dispersion of light in time and space, and observe the motions of electrons in atoms.
The most basic of all physical interactions in nature is that between light and matter. This interaction takes place in attosecond times (i.e. billionths of a...
Transistors based on carbon nanostructures: what sounds like a futuristic dream could be reality in just a few years' time. An international research team working with Empa has now succeeded in producing nanotransistors from graphene ribbons that are only a few atoms wide, as reported in the current issue of the trade journal "Nature Communications."
Graphene ribbons that are only a few atoms wide, so-called graphene nanoribbons, have special electrical properties that make them promising candidates for the...
08.12.2017 | Event News
07.12.2017 | Event News
05.12.2017 | Event News
08.12.2017 | Life Sciences
08.12.2017 | Information Technology
08.12.2017 | Information Technology