Long-term asthma outcomes after endoscopic sinus surgery in aspirin triad patients

American Journal of Otolaryngology
Todd A LoehrlTimothy L Smith

Abstract

Aspirin triad disease (ATD) is a well-known clinical entity characterized by asthma, polyposis, and aspirin intolerance. Using subjective and objective clinical data, this study examines the short- and long-term outcomes of asthma after sinus surgery in patients with ATD. A retrospective review and standardized survey in the setting of an academic tertiary rhinology program. Eighty-five patients with ATD who had endoscopic sinus surgery between 1986 and 1998 were identified from an internal database. Standardized surveys were sent to each patient to assess both objective and subjective improvement of their asthma. The address and location of 20 of 85 patients could not be ascertained. Thirty-four of the remaining 65 patients (52.3%) with ATD who underwent endoscopic sinus surgery responded to the survey. Respondents had a mean follow-up of 10 years. Overall, 29 (94%) of 31 patients who reported asthma symptoms preoperatively noted long-term postoperative improvement. Furthermore, 21 of these 31 patients (68%) reported further improvement of their asthma beyond the first postoperative year. Emergency department visits for asthma exacerbations decreased in 17 (94%) of 18. Inpatient hospitalizations for asthma exacerbations also d...Continue Reading

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Citations

Sep 1, 2010·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Satish NairSanjeevan Sharma
Jul 27, 2007·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Claudia JenneckNatalija Novak
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Dec 17, 2014·American Journal of Rhinology & Allergy·Jonathan YipJohn M Lee
Apr 13, 2018·Clinical and Experimental Otorhinolaryngology·Sung-Dong Kim, Kyu-Sup Cho
Apr 14, 2016·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Julie AdelmanJohn H Krouse
Jun 20, 2020·International Forum of Allergy & Rhinology·John V BossoNithin D Adappa
Mar 17, 2016·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Sarah A GitomerVijay R Ramakrishnan
Feb 4, 2021·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·K A ArifaK M Irfan
Jan 11, 2007·Current Opinion in Otolaryngology & Head and Neck Surgery

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