Safety of long-term intranasal budesonide delivered via the mucosal atomization device for chronic rhinosinusitis
dc.contributor.author | Manji, Jamil | |
dc.contributor.author | Singh, Gurkaran | |
dc.contributor.author | Okpaleke, Christopher | |
dc.contributor.author | Dadgostar, Anali | |
dc.contributor.author | Al-Asousi, Fahad | |
dc.contributor.author | Amanian, Ameen | |
dc.contributor.author | Macias-Valle, Luis | |
dc.contributor.author | Finkelstein, Andres | |
dc.contributor.author | Tacey, Mark | |
dc.contributor.author | Thamboo, Andrew | |
dc.contributor.author | Javer, Amin | |
dc.date.accessioned | 2017-10-05T14:36:25Z | |
dc.date.available | 2017-10-05T14:36:25Z | |
dc.date.issued | 2017 | |
dc.description.abstract | BACKGROUND: Although short-term use (≤2 months) of atomized topical nasal steroids has been shown to be safe and effective, the long-term safety has yet to be demonstrated. The aim of this study was to determine the impact of long-term topical budesonide treatment via the mucosal atomization device (MAD) on the hypothalamic-pituitary-adrenal axis (HPAA) and intraocular pressure (IOP). METHODS: A cross-sectional study of patients with chronic rhinosinusitis (CRS), with or without nasal polyposis, managed with daily nasal budesonide via MAD was conducted at a tertiary rhinology center. Patients using systemic steroids within 3 months of assessment were excluded. HPAA impact was assessed using the cosyntropin stimulation test for adrenal function and a survey of relevant symptomatology. Patients also underwent tonometry to assess for elevated IOP potentially related to corticosteroid use. RESULTS: A total of 100 CRS patients were recruited with a mean budesonide treatment duration of 23.5 months (range, 6-37 months). Stimulated cortisol response was diminished in 3 patients (3%). No patients with adrenal suppression had relevant symptomatology. IOP was elevated in 6 patients (6%). CONCLUSION: These findings suggest that there is a risk of adrenal suppression and raised IOP associated with the long-term use of topical nasal budesonide via MAD. Otolaryngologists should consider periodic surveillance for these adverse events in this patient cohort. | |
dc.description.version | Versión Publicada | |
dc.format.extent | 6 | |
dc.identifier.citation | Manji J, Singh G, Okpaleke C, Dadgostar A, Al-Asousi F, Amanian A, Macias-Valle L, Finkelstein A, Tacey M, Thamboo A, Javer A. Safety of long-term intranasal budesonide delivered via the mucosal atomization device for chronic rhinosinusitis. Int Forum Allergy Rhinol. 2017 May;7(5):488-493. doi: 10.1002/alr.21910 | |
dc.identifier.uri | http://hdl.handle.net/11447/1703 | |
dc.identifier.uri | http://dx.doi.org/10.1002/alr.21910 | |
dc.language.iso | en_US | |
dc.publisher | John Wiley & Sons | |
dc.source | International Forum of Allergy & Rhinology | |
dc.subject | HPA axis | |
dc.subject | IOP | |
dc.subject | budesonide | |
dc.subject | chronic rhinosinusitis | |
dc.subject | mucosal atomization device | |
dc.subject | postoperative care | |
dc.subject | safety | |
dc.title | Safety of long-term intranasal budesonide delivered via the mucosal atomization device for chronic rhinosinusitis | |
dc.type | Artículo |
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