[The sinobronchial syndrome. Assessment of the influence of the upper on the lower airway diseases].
Epidemiological and clinical data are discussed dealing with a possible influence of inflammatory changes of the nasal and especially the paranasal tissue on lower airway disease like asthma, the so-called "sinobronchial syndrome". Even though there is clear evidence of an association of the upper with the lower airway diseases, a causal relationship and a possible work of action are still up for discussion. The literature has been reviewed, and different theories are discussed. Generally speaking, a branch of differently accentuated mechanisms seems to play a role.
Ostertag
P
P
Klinik und Poliklinik für Hals-, Nasen- und Ohrenkranke der Ludwig-Maximilians-Universität München, Munich. P.Ostertag@t-online.de
Kramer
M F
MF
D000328:Adult; D000818:Animals; D001249:Asthma / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology; D001980:Bronchi / Q000503:physiopathology; D001982:Bronchial Diseases / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology; D016535:Bronchial Hyperreactivity / Q000503:physiopathology; D016084:Bronchoconstriction / Q000502:physiology; D002648:Child; D002908:Chronic Disease; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D015523:Maxillary Sinusitis / Q000150:complications / Q000453:epidemiology / Q000503:physiopathology; D009058:Mouth Breathing; D011014:Pneumonia / Q000209:etiology; D015995:Prevalence; D029424:Pulmonary Disease, Chronic Obstructive / Q000209:etiology; D012130:Respiratory Hypersensitivity / Q000453:epidemiology / Q000209:etiology / Q000503:physiopathology; D012143:Respiratory Physiological Phenomena; D012220:Rhinitis / Q000150:complications* / Q000453:epidemiology / Q000503:physiopathology; D012221:Rhinitis, Allergic, Perennial / Q000150:complications / Q000453:epidemiology / Q000503:physiopathology; D006255:Rhinitis, Allergic, Seasonal / Q000150:complications / Q000453:epidemiology / Q000503:physiopathology; D012307:Risk Factors; D012852:Sinusitis / Q000150:complications* / Q000453:epidemiology / Q000503:physiopathology; D013577:Syndrome; D013997:Time Factors