Chronic Rhinosinusitis in Cystic Fibrosis: Diagnosis and Medical Management

Chetan Safi; Zhong Zheng; Emily Dimango; Claire Keating; David A Gudis

doi:10.3390/medsci7020032

Chronic Rhinosinusitis in Cystic Fibrosis: Diagnosis and Medical Management

Med Sci (Basel). 2019 Feb 22;7(2):32. doi: 10.3390/medsci7020032.

Authors

Chetan Safi¹, Zhong Zheng², Emily Dimango³, Claire Keating⁴, David A Gudis⁵

Affiliations

¹ Department of Otolaryngology-Head and Neck Surgery, Columbia University Irving Medical Center; New York, NY 10032, USA. [email protected].
² Department of Otolaryngology-Head and Neck Surgery, Columbia University Irving Medical Center; New York, NY 10032, USA. [email protected].
³ Department of Pulmonary, Allergy, and Critical Care Medicine, Columbia University Irving Medical Center; New York, NY 10032, USA. [email protected].
⁴ Department of Pulmonary, Allergy, and Critical Care Medicine, Columbia University Irving Medical Center; New York, NY 10032, USA. [email protected].
⁵ Department of Otolaryngology-Head and Neck Surgery, Columbia University Irving Medical Center; New York, NY 10032, USA. [email protected].

Abstract

Chronic rhinosinusitis (CRS) is nearly ubiquitous in patients with cystic fibrosis (CF). CF CRS is a challenging entity to define, diagnose, and treat, as patients often have severe refractory sinus disease in addition to complex medical comorbidities. The purpose of this article is to review the literature on the medical management of CF CRS and determine how to best identify, diagnose, and manage CF CRS. Ultimately, the treatment of these patients requires a multi-disciplinary approach involving the pulmonologist and otolaryngologist.

Keywords: cystic fibrosis; diagnosis; medical management; rhinosinusitis.

Publication types

Review