Allergic Rhinitis in Otolaryngology and Facial Plastic Surgery Follow-up

Author: Quoc A Nguyen, MD; Chief Editor: Arlen D Meyers, MD, MBA more...

Updated: Mar 28, 2012

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Further Outpatient Care
Inpatient & Outpatient Medications
Transfer
Deterrence/Prevention
Complications
Prognosis
Patient Education
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References

Further Outpatient Care

Monitor doses and adverse effects of medication.

Inpatient & Outpatient Medications

Regimen depends on the patient's symptoms and other coexisting medical problems.

Transfer

Candidates for immunotherapy may be transferred to an allergist for care, and therapy is administered at the discretion of the treating physician.

The clinician should be familiar with immunotherapy and its risks. He or she should be able to deal with any allergic emergency.

Deterrence/Prevention

See Avoidance of allergens and environmental controls for methods of deterrence and prevention.

Complications

Complications may include bacterial rhinosinusitis and exacerbation of asthma.

Prognosis

Most patients with allergic rhinitis can expect an improved quality of life with appropriate environmental control measures; pharmacotherapy; and, when necessary, immunotherapy.

Patient Education

The clinic should have literature about allergies, and the office staff should continually educate patients and reinforce their understanding of avoidance and environmental control techniques.

Patients undergoing immunotherapy should be instructed to report any reactions from the previous injection and any changes in their health status during each visit (eg, change in medication, new onset of upper respiratory tract infection, worsening of asthma).

Contributor Information and Disclosures

Author

Quoc A Nguyen, MD Associate Clinical Professor, Director, Sinus and Allergy Center, Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine, Medical Center

Quoc A Nguyen, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngic Allergy, American Academy of Otolaryngology-Head and Neck Surgery, American Laryngological Rhinological and Otological Society, American Rhinologic Society, and Phi Beta Kappa

Disclosure: Nothing to disclose.

Specialty Editor Board

Lanny Garth Close, MD Chair, Professor, Department of Otolaryngology-Head and Neck Surgery, Columbia University College of Physicians and Surgeons

Lanny Garth Close, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Physicians, American Laryngological Association, American Society for Head and Neck Surgery, and New York Academy of Medicine

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

Stephen G Batuello, MD Consulting Staff, Colorado ENT Specialists

Stephen G Batuello, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Physician Executives, American Medical Association, and Colorado Medical Society

Disclosure: Nothing to disclose.

Christopher L Slack, MD Private Practice in Otolaryngology and Facial Plastic Surgery, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders

Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association

Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA Professor of Otolaryngology, Dentistry, and Engineering, University of Colorado School of Medicine

Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society

Disclosure: Covidien Corp Consulting fee Consulting; US Tobacco Corporation Unrestricted gift Unknown; Axis Three Corporation Ownership interest Consulting; Omni Biosciences Ownership interest Consulting; Sentegra Ownership interest Board membership; Medvoy Ownership interest Management position; Cerescan Imaging Consulting; Headwatersmb Consulting fee Consulting; Venturequest Royalty Consulting

References

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Boggy inferior turbinate in an allergic patient.

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