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University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository

Specialty

Otolaryngology

Advisor

Sarah Bolander, DMSc, MMS, PA-C, DFAAPA

Abstract

Chronic rhinosinusitis with nasal polyps (CRSwNP) is a type 2 inflammatory disease affecting up to 4.2% of people in the United States. CRSwNP results in a variety of symptoms that decrease health-related quality of life (HRQoL). The mainstay of treatment involves intranasal corticosteroids, sinonasal lavage with saline, and fiberoptic endoscopic sinus surgery (FESS). Despite treatment, almost a quarter of patients will suffer a relapse of polyp growth with a reduction of HRQoL within one year. Recently, biologic therapies have been introduced as a new treatment aimed at blocking various parts of the inflammatory pathway responsible for nasal polyp growth. Biologics are both safe and effective in improving HRQoL.

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