Management of Chronic Rhinosinusitis with Nasal Polyps: Endoscopic Sinus Surgery is Still the Best Treatment

April 18, 2021
The management strategies for chronic rhinosinusitis with nasal polyps 
(CRSwNP) 
in adults have improved immensely over the past decade. 

Thomas Higgins, MD, MSPH

Husband. Dad. Sinus Nerd. Humble President of Snot Force Alliance Inc.
Visit him at www.higgins-sinus.com

Video by  cottonbro  from  Pexels
A woman experiencing nasal allergy.
February 11, 2025
Allergies significantly contribute to common nasal conditions such as rhinitis, sinusitis, and nasal polyps. Allergic reactions can lead to chronic inflammation, which increases the risk of complications and recurrent symptoms in our patients. Understanding this connection is essential for effective diagnosis and treatment.
A man is blowing his nose into a napkin while sitting on a couch.
January 27, 2025
Did you know that chronic rhinosinusitis (CRS) can affect more than just the sinuses? While the physical symptoms of CRS—such as nasal obstruction, facial pain, and purulent nasal discharge—are well-documented, the cognitive implications of this condition are less commonly discussed. This blog aims to inform physicians about the cognitive impacts.
A woman administering the epinephrine on herself.
January 14, 2025
Anaphylactic shock is a severe and potentially fatal allergic reaction that can strike suddenly, making swift medical response crucial. For physicians, mastering airway management in these urgent situations is key to safeguarding patient lives and enhancing recovery outcomes.
A woman is sitting on a couch using an inhaler.
December 3, 2024
Nearly 1 in 3 adults and over 1 in 4 children in the U.S. reported experiencing allergies. These statistics highlight the significant prevalence of these conditions and their impact on patient populations. Despite their prevalence, allergy diagnosis can sometimes be challenging, especially when symptoms do not align with typical presentations. In this blog, we will explore unusual cases in allergy diagnosis, discuss their implications for clinical practice, and highlight the importance of a comprehensive approach to patient evaluation.
A woman flushing her congested nose
November 20, 2024
A sinus flush, also known as nasal irrigation or saline rinse, involves rinsing the nasal passages with a saline solution. Various devices, such as neti pots, squeeze bottles, and bulb syringes, can be used for this purpose. The primary objective of a sinus flush is to remove excess mucus, allergens, and irritants from the nasal passages, providing relief from symptoms like congestion, pressure, and post-nasal drip.
An illustration of a man 's stomach with a circle of bacteria in it
October 23, 2024
The gut microbiome consists of trillions of microorganisms, including bacteria, viruses, fungi, and other microbes residing in the gastrointestinal tract. This complex ecosystem plays a vital role in digestion, metabolism, and overall immune function. The gut is home to a substantial portion of the body’s immune cells, making it a significant player in modulating immune responses.
A female scientist is using a laptop computer in a lab.
October 16, 2024
Severe uncontrolled asthma poses a significant challenge in clinical practice, affecting millions of patients worldwide and leading to considerable morbidity and healthcare costs. Despite the availability of standard treatments, many patients find themselves trapped in a cycle of persistent symptoms and frequent exacerbations. However, recent advancements in research and innovative treatment options are providing new hope for effective management of this complex condition.
A doctor reading a patient file while standing in his consultation room.
July 25, 2024
Allergies are a prevalent health issue, with over a quarter of U.S. children and nearly a third of U.S. adults facing seasonal allergies, eczema, or food allergies. Healthcare providers can empower patients to cope better with their allergic conditions by grasping effective management strategies and delivering comprehensive care. Here is a guide to assist healthcare providers in effectively supporting patients in managing allergies:
A woman with red hair is covering her face with a napkin.
July 8, 2024
When people with allergies encounter allergens like pollen, dust mites, or certain foods, their immune system mounts an exaggerated response characterized by the activation of immune cells and the release of inflammatory mediators. Two key immune pathways are central to this response: the innate immune system and the adaptive immune system. Read on to learn the innate and adaptive immune systems in responding to pathogens and their significance in clinical practice.
A woman is blowing her nose with a napkin.
June 11, 2024
Sinus health extends beyond respiratory comfort, serving as a component of the immune system's defense mechanisms. Acting as a protective barrier, the paranasal sinuses filter out pathogens and assist in immune responses. Disruptions in sinus health can compromise this defense mechanism, potentially heightening susceptibility to infections and immune-related disorders
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