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Rhinology | The New EPOS Guidelines for CRS | Prof Valerie Lund

The New EPOS Guidelines for Chronic Rhinosinusitis Prof Valerie Lund Professor of Rhinology, Ear Institute, University College London Barts Online Teaching Programme, 22 May 2020 Curriculum topics (UK Otolaryngology Higher Surgical Training 2017) 1. Rhinology - Nose and sinus infections; Nasal polyps; Nose and sinus inflammation including allergy 03:35 - What's new in EPOS 2020 06:17 - Prevalence, cost, aetiology and pathogenesis of CRS 13:46 - Classification 15:07 - Definitions 17:44 - Recalcitrant CRS and assessment of control 19:55 - Differential diagnosis and concomitant disease 20:33 - Algorithm 22:36 - Medical treatments in Primary Care 23:15 - Topical corticosteroids 23:56 - Nasal-delivered drugs and irrigation 29:06 - Antibiotics 37:18 - Treatments in Secondary Care 38:01 - Surgical decision making 42:48 - Rationale for and extent of surgery 44:53 - Biologics 50:28 - Biomarkers and predictors of success ('precision medicine') Questions 56:18 - Use of probiotics 57:18 - Diminishing efficacy steroids 58:36 - Use of oral steroids post-op 59:45 - Decision making around biologics 01:02:30 - Rationing of medications around Covid 01:03:49 - Us of tranexamic acid 01:04:43 - Discharging patients post-op 01:06:15 - Returning to endoscopic sinus surgery post-Covid and PPE 01:08:31 - Herbal treatments