Exposure To Inhaled Agents at work means 1 in 4 of Operated Chronic Sinusitis Patients fail to recover.
Chetna, Updated On:24-Mar-2013
Chronics rhinosinusitis(CRS)-a result of excess exposure to occupational agents..
Excess exposure to Occupational agents at work should be taken into account as a risk factor for the occurance of chronic rhinosinusitis(CRS).
Large expoure in places of work is seen as a leading factor in its occurance or persistence,as evidenced by the need for revision surgery.
Acute and chronic rihnosinusitis(ARS and CRS) are common diseases affecting up to 10% of the western population and are usually treated by functional endoscopic sinus surgery(FESS) when medical treatment fails.However 10 to 15% of operated patients respond insufficiently to FESS with the main reason believed to be exposure to inhaled noxious agents.The recent studies involving a controlled patient population further point to evidence that occupational exposure represents a large risk factor for the occurance of rhinosinusitits and its recurrence after surgery.
Occupational agents that were most frequently mentioned by patients and controls are:bleach,inorganic dust,paints,cement,thinner,ammonia,white spirit,fuel gas and acetone with cleaners,caretakers,housewives,builders,painters,carpenters and mechanics the occupations most at risk.
The conclusion,spearheaded by Professor Peter Hellings from the Department of ENT at University Hospital Leuven and Chairman of SERIN 2013,reveal that in addition to the continued need to prevent harmful expose at work,there is a further necessity for more research in this area through prospective clinical studies as well as fundamental research exploring pathophysiological mechanisms of occupational upper airway disease.