Volume 09
Otolaryngology: Open Access
ISSN: 2161-119X
Page 49
August 15-17, 2019 Rome, Italy
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Debashis Acharya, Otolaryngol (Sunnyvale) 2019, Volume 09
Allergic Rhinitis: Pearls of wisdom
T
his provides an overview of Allergic Rhinitis and its management. It is very useful for students of Rhinology and
clinicians managing this disease. It introduces them to a systematic approach of assessing allergic rhinitis patients
which is very commonly found in most populations and causes considerably morbidity. Allergy per se is a very difficult
subject to master and it is with great perseverance one can treat patients suffering from this condition. The cornerstone of
managing a patient of allergic rhinitis is first and foremost obtaining a good history. This is to be followed by a thorough
examination and investigations. The general practitioner is the first expert to be involved in management of allergic
rhinitis patient followed by specialists in particular otorhinolaryngologists, and finally by allied healthcare personnel.
Inflammation of nose and paranasal sinuses are characterized by two or more symptoms—namely, either nasal blockage
/ obstruction / congestion or nasal discharge. Associated symptoms include facial pain / pressure and either reduction
or loss of smell. Certain diagnostic endoscopic signs of nasal polyps and or mucopurulent discharge and or mucosal
oedema in the middle meatus and or CT changes of mucosa within the ostoemeatal complex, and or sinuses are seen.
Definitions, aetiologies, clinical presentations, diagnosis / prognosis and management of allergic rhinitis is dealt with.
Common allergens causing the disease are mentioned, pathophysiology and classification of allergic rhinitis is discussed
in detail. Different types of allergen testing are highlighted along with their specific role and uniqueness. Principles of
immunotherapy in treatment of allergic rhinitis are discussed here. Health effects of allergic rhinitis along with its impact
on physical quality of life is mentioned. The basic idea of this presentation is to improve diagnostic accuracy by promoting
appropriate use of ancillary tests like nasoendoscopy, allergy testing, computed tomography etc. and reduce inappropriate
antibiotic use. The basic treatment plan of allergic rhinitis is according to the severity and duration. It consists of allergen
avoidance, pharmacotherapy, allergen immunotherapy and surgery which has limited role.
Biography
Dr. Debashis Acharya is passionate about Otorhinolaryngology (E.N.T.), being more than 25 years in the field. He trained at India’s premiere defence medical
establishmentArmy Hospital (Research & Referral), New Delhi affiliated to the University of
Delhi.Anex- IndianArmy Medical Corps officer ( Lieutenant Colonel)
served as E.N.T. Specialist in the forces for approx. 12 years until 2008 when he left the services. He has worked as Medical Superintendent in a private Medical
College Hospital at Gujarat, India after that for almost one year. Subsequently held the appointment as H.O.D. & Associate Professor at Ahmedabad, Gujurat,
India. for approx. two years before moving to Qatar in 2011. Presently working as Consultant E.N.T. in PHCC (Primary Health Care Corporation) - QATAR since
2014.
dracharyad@yahoo.co.inDebashis Acharya
Primary Health Care Corporation(PHCC), QATAR