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EPOS 2012: European position paper on rhinosinusitis and nasal polyps 2012. A summary for otorhinolaryngologists.

Volume: 50 - Issue: 1

First page: 1 - Last page: 12

W.J. Fokkens - V.J. Lund - J. Mullol - C. Bachert - I. Alobid - F. Baroody - N. Cohen - A. Cervin - R. Douglas - P. Gevaert - C. Georgalas - H. Goossens - R. Harvey - P. Hellings - C. Hopkins - N. Jones - G. Joos - L. Kalogjera - B. Kern - M. Kowalski - D. Price - H. Riechelmann - R. Schlosser - B. Senior - M. Thomas - E. Toskala - R. Voegels - D.Y. Wang - P.J. Wormald

The European Position Paper on Rhinosinusitis and Nasal Polyps 2012 is the update of similar evidence based position papers
published in 2005 and 2007.
The document contains chapters on definitions and classification, we now also propose definitions for ‘difficult to treat’
rhinosinusitis, control of disease and better definitions for rhinosinusitis in children. More emphasis is placed on the diagnosis
and treatment of acute rhinosinusitis. Throughout the document the terms chronic rhinosinusitis without nasal polyps
(CRSsNP) and chronic rhinosinusitis with nasal polyps (CRSwNP) are used to further point out differences in pathophysiology
and treatment of these two entities.
There are extensive chapters on epidemiology and predisposing factors, inflammatory mechanisms, (differential) diagnosis of
facial pain, genetics, cystic fibrosis, aspirin exacerbated respiratory disease, immunodeficiencies, allergic fungal rhinosinusitis
and the relationship between the upper and lower airways. The chapters on paediatric acute and chronic rhinosinusitis are
totally rewritten.
Last but not least all available evidence for management of acute rhinosinusitis and chronic rhinosinusitis with or without
nasal polyps in adults and children is analyzed and presented and management schemes based on the evidence are
proposed. This executive summary for otorhinolaryngologists focuses on the most important changes and issues for
The full document can be downloaded for free on the website of this journal: http://www.rhinologyjournal.com
To cite this article: Wytske J. Fokkens, Valerie J. Lund, Joachim Mullol, Claus Bachert, Isam Alobid, Fuad Baroody, Noam Cohen,
Anders Cervin, Richard Douglas, Philippe Gevaert, Christos Georgalas, Herman Goossens, Richard Harvey, Peter Hellings, Claire
Hopkins, Nick Jones, Guy Joos, Livije Kalogjera, Bob Kern, Marek Kowalski, David Price, Herbert Riechelmann, Rodney Schlosser,
Brent Senior, Mike Thomas, Elina Toskala, Richard Voegels, Wang Deyun, Peter John Wormald The European Position Paper on
Rhinosinusitis and Nasal Polyps 2012. Rhinology. 2012 Suppl. 23: 1-299.

Rhinology 50-1: 1-12, 2012

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