Great slideshow about sinusitis

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jjfjksdf - 29 Oct 2007 23:37 GMT

Found this from google. Really good info in it. Much better than the
faq...

http://www.worldallergy.org/educational_programs/gloria/slides/Module10_Rhinosin
usitis_0807.ppt

or

http://tinyurl.com/2ffqd2

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jjfjksdf - 30 Oct 2007 00:05 GMT

> Found this from google. Really good info in it. Much better than the
> faq...
[quoted text clipped - 4 lines]
>
> http://tinyurl.com/2ffqd2

BTW - This is a powerpoint presentation. If you don't have powerpoint
you can download OpenOffice.org http://www.openoffice.org (which is what
I did) or there is a free powerpoint viewer on microsoft's web site.

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Steven L. - 30 Oct 2007 01:59 GMT

> Found this from google. Really good info in it. Much better than the
> faq...
[quoted text clipped - 4 lines]
>
> http://tinyurl.com/2ffqd2

It's informative as far as it goes.
But it seems biased to me.

It seems to consider surgery as a last resort and goes into a zillion
other treatments in much more detail. It doesn't even describe the
various surgical procedures or options available today.

Yet surgery has shown itself to be an effective cure (cure rate over
70%) for chronic sinusitis. It should not be considered just the
absolute last resort when all else has failed. After all, in other
chronic fulminating diseases like cancer, surgery is a *first-line*
treatment.

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Steven L.
Email: sdlitvin@earthlinkNOSPAM.net
Remove the NOSPAM before replying to me.

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Andi - 30 Oct 2007 03:10 GMT

<snip>

http://www.worldallergy.org/educational_programs/gloria/slides/Module10_Rhinosin
usitis_0807.ppt

> > or
> >
[quoted text clipped - 12 lines]
> chronic fulminating diseases like cancer, surgery is a *first-line*
> treatment.

Personally I do not think that this is biased at all. In the 2007
position paper on rhinsinusitis and nasal polyps, it has been clearly
stated that surgery is only to be resorted to when the patient does not
improve with optimal medical treatment (page 67). This opinion is based
on an extensive review of studies.

The position paper is available from the Rhinology Journal Webpage:

http://www.rhinologyjournal.com/epos2007/epos.pdf

You must also keep in mind that, for example, in many studies "success"
of surgery is defined as an improvement of symptoms, not a complete
cure of the condition. If you have any interesting references regarding
the outcome of surgery, please post them.

Considering the cost and risk of surgery plus the definition of a
successful outcome (often only "imrpovement of symtpoms" rather than
cure), I really think that patients should not go into surgery unless
the medical treatment options have been exhausted. And I know of too
many people who have been pushed into surgery right away and too many
doctors that do not treat their patients according to the evidence that
is out there (and neatly compiled for example in the position paper
mentioned above).
The biggest problem is probably that patients are actually NOT receiving
optimal medical treatment in the first place.

Andi

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