Table 1.
Summary of medical management used to treat cystic fibrosis rhinosinusitis.
Reference | Therapeutic | Duration | Outcome |
---|---|---|---|
Cimmino et al. [24] | Dornase-alpha | 48 weeks | Improved sinonasal symptoms, LKNE score, LMS, and FEV1 |
Mainz et al. [25] | Dornase-alpha | 4 weeks | Improved SNOT-22 and forced expiratory flow 75%–25% |
Mainz et al. [26] | Isotonic vs. hypertonic saline | 4 weeks | Both led to similar small improvements in SNOT-22 |
Hadfield et al. [28] | Beclomethasone | 6 weeks | Reduction in polyposis but no change in symptom score |
Donaldson et al. [29] | Beclomethasone | Not described | Improvement in nasal polyposis and nasal obstruction |
Aanaes et al. [35] | Colistin irrigations | 6 months | Negative sinus cultures for at least 6 months in at least 50% of patients |
Mainz et al. [36] | Nebulized tobramycin | 4 weeks–8 weeks | Decreased burden of P. aeruginosa and improvement in SNOT-22 |
Moss et al. [37] | Tobramycin lavage | 7–10 days (with repetitive treatments if necessary) | Improved reoperation rate for endoscopic sinus surgery |
Chang et al. [38] | Ivacaftor | 10 months | Improved symptoms and FEV1 |
Lindstrom et al. [40] | Ibuprofen | Unknown | Temporary resolution of nasal polyps with >50% of patients experiencing recurrence |
Abbreviations, LKNE: Lund–Kennedy Nasal Endoscopy, LMS: Lund–Mackay score, FEV1: forced expiratory volume in 1 s, SNOT-22: Sinonasal Outcome Test-22.