Efectividad real de la terapia biológica en el tratamiento de pacientes con rinosinusitis crónica con poliposis nasosinusal
[EN]Introduction and objective:Nowadays, treatment proposals for patients with recurrent sinonasal polyposis are based on the use of local intranasal corticosteroid therapy based on topical inhalers, cycles of systemic corticosteroids and endoscopic nasal surgery. Biological therapy is gaining more...
| Autores: | , , , , , |
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| Tipo de recurso: | artículo |
| Fecha de publicación: | 2024 |
| País: | España |
| Institución: | Universidad de Salamanca (USAL) |
| Repositorio: | GREDOS. Repositorio Institucional de la Universidad de Salamanca |
| OAI Identifier: | oai:gredos.usal.es:10366/166141 |
| Acceso en línea: | http://hdl.handle.net/10366/166141 |
| Access Level: | acceso abierto |
| Palabra clave: | RSCcPNS terapia biológica respuesta Th2 CRSwNP biological therapy Th2 respond |
| Sumario: | [EN]Introduction and objective:Nowadays, treatment proposals for patients with recurrent sinonasal polyposis are based on the use of local intranasal corticosteroid therapy based on topical inhalers, cycles of systemic corticosteroids and endoscopic nasal surgery. Biological therapy is gaining more and more prominence in the treatment of this pathology. The objective of this work is based on determining which biological treatment of those administered today for this disease is more effective in managing symptoms and in its evolution.Method:Retrospective study of 21 patients with chronic rhinosinusitis with sinonasal polyposis and asthma under treatment with biological therapy at the University Hospital of Fuenlabrada. Using a Wilcoxon signed-rank study, we will analyze the efficacy of the different biological treatments administered.Results:A statistical significance with p = <0, 001 was evidenced in terms of the improvement of the symptoms suffered by the study patients (with the exception of smell) as well as an improvement in the Nasal Polyp Score of 3 points. The Wilconxon test result was statistical significance with p = <0, 001.Discussion:The data obtained in this study agree with those obtained in studies on biological therapy in CRSwNP. Remarkable reductions in the disease burden of CRSwNP have been documented objectively and subjectively. This is consistent with the fact that our patients required fewer reinterventions throughout the procedure.Conclusions:In our study, the efficacy of biological therapy has been corroborated in practically all the data analyzed. However, it has not been possible to demonstrate the relevance of one type of therapy over another. |
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