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