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Mainz JG, Duckstein F, Zagoya C, Koitschev A. Chronic rhinosinusitis in people with CF, a rapidly changing field. J Cyst Fibros 2024; 23:183-184. [PMID: 38604889 DOI: 10.1016/j.jcf.2024.04.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2024] [Accepted: 04/02/2024] [Indexed: 04/13/2024]
Affiliation(s)
- Jochen G Mainz
- Cystic Fibrosis Center, Brandenburg Medical School (MHB) University. Klinikum Westbrandenburg, Klinik für Kinder- und Jugendmedizin, Hochstraβe 29, 14770, Brandenburg an der Havel, Germany.
| | - Franziska Duckstein
- Cystic Fibrosis Center, Brandenburg Medical School (MHB) University. Klinikum Westbrandenburg, Klinik für Kinder- und Jugendmedizin, Hochstraβe 29, 14770, Brandenburg an der Havel, Germany
| | - Carlos Zagoya
- Cystic Fibrosis Center, Brandenburg Medical School (MHB) University. Klinikum Westbrandenburg, Klinik für Kinder- und Jugendmedizin, Hochstraβe 29, 14770, Brandenburg an der Havel, Germany
| | - Assen Koitschev
- Klinikum Stuttgart - Standort Olgahospital, Klinik für Hals-Nasen-Ohrenkrankheiten, Stuttgart, Germany
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Mainz JG, Schien C, Schiller I, Schädlich K, Koitschev A, Koitschev C, Riethmüller J, Graepler-Mainka U, Wiedemann B, Beck JF. Sinonasal inhalation of dornase alfa administered by vibrating aerosol to cystic fibrosis patients: a double-blind placebo-controlled cross-over trial. J Cyst Fibros 2014; 13:461-70. [PMID: 24594542 DOI: 10.1016/j.jcf.2014.02.005] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2013] [Revised: 02/07/2014] [Accepted: 02/09/2014] [Indexed: 10/25/2022]
Abstract
BACKGROUND Chronic rhinosinusitis significantly impairs CF patients' quality of life and overall health. The Pari-Sinus™ device delivers vibrating aerosol effectively to paranasal sinuses. After a small pilot study to assess sinonasal inhalation of dornase alfa and placebo (isotonic saline) on potential sinonasal outcome measures, we present the subsequent prospective double-blind placebo-controlled crossover-trial. METHODS 23 CF patients were randomised to inhale either dornase alfa or isotonic saline for 28 days with the Pari-Sinus™ and after 28 days (wash-out) crossed over to the alternative treatment. The primary outcome parameter was primary nasal symptom score in the disease-specific quality of life Sino-Nasal Outcome-Test-20 (SNOT-20: nasal obstruction/sneezing/runny nose/thick nasal discharge/reduced smelling). RESULTS Primary nasal symptoms improved significantly with dornase alfa compared with no treatment, while small improvements with isotonic saline did not reach significance. SNOT-20 overall scores improved significantly after dornase alfa compared with isotonic saline (p=0.017). Additionally, sinonasal dornase alfa but not isotonic saline significantly improved pulmonary function (FEF75-25: p=0.021). CONCLUSION Vibrating sinonasal inhalation of dornase alfa reduces rhinosinusitis symptoms in CF.
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Affiliation(s)
- Jochen G Mainz
- Department of Paediatrics, CF-Center, Jena University Hospital, Kochstraße 2, 07745 Jena, Germany.
| | - Claudia Schien
- Department of Paediatrics, CF-Center, Jena University Hospital, Kochstraße 2, 07745 Jena, Germany
| | - Isabella Schiller
- Department of Paediatrics, CF-Center, Jena University Hospital, Kochstraße 2, 07745 Jena, Germany
| | - Katja Schädlich
- Department of Paediatrics, CF-Center, Jena University Hospital, Kochstraße 2, 07745 Jena, Germany
| | - Assen Koitschev
- Department of Paediatric Otorhinolaryngology, Olgahospital, Stuttgart, Bismarckstraße 8, 70176 Stuttgart, Germany
| | - Christiane Koitschev
- Department of Otorhinolaryngology, University Hospital, Tübingen, Elfriede-Aulhorn-Str. 5, 72076 Tübingen, Germany
| | - Joachim Riethmüller
- Department of Paediatrics, University Children's Hospital, Tübingen, Hoppe-Seyler-Str. 1, 72076 Tübingen, Germany
| | - Uta Graepler-Mainka
- Department of Paediatrics, University Children's Hospital, Tübingen, Hoppe-Seyler-Str. 1, 72076 Tübingen, Germany
| | - Bärbel Wiedemann
- Department of Medical Informatics and Biometrics, Technical University Dresden, Fetscherstr. 74, 01307 Dresden, Germany
| | - James F Beck
- Department of Paediatrics, CF-Center, Jena University Hospital, Kochstraße 2, 07745 Jena, Germany
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