Abstract
Background:
Allergic rhinitis (AR) is an inflammatory nasal mucosal disease that has been linked to the etiology of chronic rhino sinusitis (CRS). Knowledge of the relationship between AR and CRS is important in order to determine populations at risk and enhance preventive intervention.
Objective:
To review the contribution of allergic rhinitis to the onset of chronic sinusitis, assess factors related to risk, and indicate preventive strategies.
Methods:
A prospective observational study was conducted on 200 patients diagnosed with allergic rhinitis. Participants were followed for two years to assess the incidence of CRS and associated risk factors. Clinical data, symptom severity, allergy history, and environmental exposures were recorded. Preventive measures, including allergen avoidance and medical therapy, were analyzed for their effectiveness in reducing CRS progression.
Results:
Of 200 patients with AR, 68 (34%) had developed CRS during two years. The risk factors were pronounced nasal obstruction, asthma comorbidity, allergy family history, and exposure to environmental toxins. Preventive interventions like intranasal corticosteroids, antihistamines, and allergen avoidance markedly reduced CRS risk from those receiving only symptomatic care.
Conclusion:
Allergic rhinitis is a major contributor to the pathogenesis of chronic sinusitis. Identification of risk factors at an early stage and preventive management can decrease CRS progression as well as enhance the quality of life.
Keywords: Allergic rhinitis, Chronic sinusitis, Risk factors, Preventive strategies, Nasal inflammation