The influence of the sinonasal microbiome on the development and management of rhinosinusitis

Introduction and purpose: Chronic rhinosinusitis (CRS) is a frequently diagnosed condition in patients seeking medical care. It encompasses a range of disorders that can be classified based on underlying causes, clinical symptoms, or inflammatory types. Although the precise cause of CRS remains unc...

Full description

Saved in:
Bibliographic Details
Main Authors: Miriam Lang, Dawid Bereza, Maria Kulak-Waśniewska, Igor Moreau, Paulina Polańska, Katarzyna Sokołowska, Barbara Woch
Format: Article
Language:English
Published: Kazimierz Wielki University 2025-01-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:https://apcz.umk.pl/JEHS/article/view/56769
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841560981108424704
author Miriam Lang
Dawid Bereza
Maria Kulak-Waśniewska
Igor Moreau
Paulina Polańska
Katarzyna Sokołowska
Barbara Woch
author_facet Miriam Lang
Dawid Bereza
Maria Kulak-Waśniewska
Igor Moreau
Paulina Polańska
Katarzyna Sokołowska
Barbara Woch
author_sort Miriam Lang
collection DOAJ
description Introduction and purpose: Chronic rhinosinusitis (CRS) is a frequently diagnosed condition in patients seeking medical care. It encompasses a range of disorders that can be classified based on underlying causes, clinical symptoms, or inflammatory types. Although the precise cause of CRS remains unclear, the European Position Paper on Rhinosinusitis and Nasal Polyps 2020 (EPOS 2020) has recently offered updated insights, treatment strategies, and recommendations. State of knowledge: Recent research has increasingly focused on the role of the microbiota in inflammatory diseases. The optimal bacterial environment in the sinonasal mucosa, where inhaled bacteria, viruses, fungal spores, and particles initially interact, is still not fully understood. The dysbiosis theory, which emphasizes the importance of the microbiome and its relationship with the host, is the predominant model explaining CRS pathogenesis. Disruptions in this balance can lead to a variety of clinical manifestations in CRS patients. Conclusions: Given the impact of CRS treatment on the composition of sinus and nasopharyngeal microbiota, the dysbiosis theory highlights the importance of addressing this aspect in therapeutic strategies. Ongoing research is exploring the potential use of pre- and probiotics as novel treatment options. A more thorough understanding of the microbiological factors involved in CRS is crucial for developing personalized, targeted therapies for affected individuals.
format Article
id doaj-art-95aadcc193334d5eb8c0c3fcb68c3495
institution Kabale University
issn 2391-8306
language English
publishDate 2025-01-01
publisher Kazimierz Wielki University
record_format Article
series Journal of Education, Health and Sport
spelling doaj-art-95aadcc193334d5eb8c0c3fcb68c34952025-01-03T08:16:25ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062025-01-017710.12775/JEHS.2025.77.56769The influence of the sinonasal microbiome on the development and management of rhinosinusitisMiriam Lang0https://orcid.org/0009-0002-5226-1467Dawid Bereza1https://orcid.org/0009-0007-7205-0671Maria Kulak-Waśniewska2https://orcid.org/0009-0000-6359-0560Igor Moreau3https://orcid.org/0000-0001-8872-0931Paulina Polańska4https://orcid.org/0009-0004-2365-7977Katarzyna Sokołowska5https://orcid.org/0009-0003-3145-243XBarbara Woch6https://orcid.org/0009-0003-2000-2687Lower Silesian Oncology CenterDr Alfred Sokolowski Specialist Hospital in Walbrzych, A. Sokołowskiego 4, 58-309 Walbrzych, PolandPomeranian Hospitals LLC, Polish Red Cross Maritime Hospital, ul. Powstania styczniowego 1, 81-519 Gdynia, PolandDivision of Pathophysiology, Department of Physiology and Pathophysiology, Wroclaw Medical University, Tytusa Chałubińskiego 10, 50-368 Wroclaw, PolandFaculty of Medicine, Wroclaw Medical University, Wybrzeże L. Pasteura 1, 50-367 Wroclaw, PolandDr Alfred Sokolowski Specialist Hospital in Walbrzych, A. Sokołowskiego 4, 58-309 Walbrzych, PolandPoviat Hospital Complex; Poviat Hospital in Oleśnica, Armii Krajowej 1, 56-400 Oleśnica Introduction and purpose: Chronic rhinosinusitis (CRS) is a frequently diagnosed condition in patients seeking medical care. It encompasses a range of disorders that can be classified based on underlying causes, clinical symptoms, or inflammatory types. Although the precise cause of CRS remains unclear, the European Position Paper on Rhinosinusitis and Nasal Polyps 2020 (EPOS 2020) has recently offered updated insights, treatment strategies, and recommendations. State of knowledge: Recent research has increasingly focused on the role of the microbiota in inflammatory diseases. The optimal bacterial environment in the sinonasal mucosa, where inhaled bacteria, viruses, fungal spores, and particles initially interact, is still not fully understood. The dysbiosis theory, which emphasizes the importance of the microbiome and its relationship with the host, is the predominant model explaining CRS pathogenesis. Disruptions in this balance can lead to a variety of clinical manifestations in CRS patients. Conclusions: Given the impact of CRS treatment on the composition of sinus and nasopharyngeal microbiota, the dysbiosis theory highlights the importance of addressing this aspect in therapeutic strategies. Ongoing research is exploring the potential use of pre- and probiotics as novel treatment options. A more thorough understanding of the microbiological factors involved in CRS is crucial for developing personalized, targeted therapies for affected individuals. https://apcz.umk.pl/JEHS/article/view/56769microbiomenasal polypsrhinosinusitis
spellingShingle Miriam Lang
Dawid Bereza
Maria Kulak-Waśniewska
Igor Moreau
Paulina Polańska
Katarzyna Sokołowska
Barbara Woch
The influence of the sinonasal microbiome on the development and management of rhinosinusitis
Journal of Education, Health and Sport
microbiome
nasal polyps
rhinosinusitis
title The influence of the sinonasal microbiome on the development and management of rhinosinusitis
title_full The influence of the sinonasal microbiome on the development and management of rhinosinusitis
title_fullStr The influence of the sinonasal microbiome on the development and management of rhinosinusitis
title_full_unstemmed The influence of the sinonasal microbiome on the development and management of rhinosinusitis
title_short The influence of the sinonasal microbiome on the development and management of rhinosinusitis
title_sort influence of the sinonasal microbiome on the development and management of rhinosinusitis
topic microbiome
nasal polyps
rhinosinusitis
url https://apcz.umk.pl/JEHS/article/view/56769
work_keys_str_mv AT miriamlang theinfluenceofthesinonasalmicrobiomeonthedevelopmentandmanagementofrhinosinusitis
AT dawidbereza theinfluenceofthesinonasalmicrobiomeonthedevelopmentandmanagementofrhinosinusitis
AT mariakulakwasniewska theinfluenceofthesinonasalmicrobiomeonthedevelopmentandmanagementofrhinosinusitis
AT igormoreau theinfluenceofthesinonasalmicrobiomeonthedevelopmentandmanagementofrhinosinusitis
AT paulinapolanska theinfluenceofthesinonasalmicrobiomeonthedevelopmentandmanagementofrhinosinusitis
AT katarzynasokołowska theinfluenceofthesinonasalmicrobiomeonthedevelopmentandmanagementofrhinosinusitis
AT barbarawoch theinfluenceofthesinonasalmicrobiomeonthedevelopmentandmanagementofrhinosinusitis
AT miriamlang influenceofthesinonasalmicrobiomeonthedevelopmentandmanagementofrhinosinusitis
AT dawidbereza influenceofthesinonasalmicrobiomeonthedevelopmentandmanagementofrhinosinusitis
AT mariakulakwasniewska influenceofthesinonasalmicrobiomeonthedevelopmentandmanagementofrhinosinusitis
AT igormoreau influenceofthesinonasalmicrobiomeonthedevelopmentandmanagementofrhinosinusitis
AT paulinapolanska influenceofthesinonasalmicrobiomeonthedevelopmentandmanagementofrhinosinusitis
AT katarzynasokołowska influenceofthesinonasalmicrobiomeonthedevelopmentandmanagementofrhinosinusitis
AT barbarawoch influenceofthesinonasalmicrobiomeonthedevelopmentandmanagementofrhinosinusitis