Episode #17: Asthma, Steroids & Sinus Surgery: Rethinking the Predictors

In this episode, we explore an important and evolving question in the management of chronic rhinosinusitis and airway disease: how should clinicians interpret predictors of surgical success in patients with comorbid asthma? Join Benjamin Bleier as he discusses emerging perspectives from a recent international consensus meeting, including the idea that asthma — traditionally considered a negative predictor for sinus surgery outcomes — may be influenced by steroid exposure and broader airway inflammation within the unified airway system. Together, we explore: 🔬 Why asthma has historically been viewed as a negative predictor for sinus surgery outcomes 💊 How cumulative steroid exposure from both upper and lower airway treatments may influence results 🫁 The role of the united airways concept in understanding treatment decisions ⚖️ How clinicians balance surgery, topical therapies, and biologics for individual patients 📊 The growing need for reliable biomarkers that could help predict which patients will benefit most from surgery versus biologic therapy The discussion also highlights how disease severity, comorbid asthma, and inflammatory markers may shape treatment pathways, as well as the current gaps in evidence that still make these decisions challenging in clinical practice. Whether you are an ENT specialist, allergist, pulmonologist, or researcher working in airway disease, this conversation offers valuable insights into how future treatment algorithms may evolve to better personalize care for patients. 👉 Don’t forget to like, share, and subscribe for more expert discussions on airway diseases, clinical decision-making, and the future of respiratory and ENT care. #ENT #CRSwNP #Biologics #SinusSurgery #Asthma #RespiratoryHealth #MedicalPodcast #MedicalEducation #EUFOREA 📽 Subscribe to our YouTube Channel for our latest videos on allergies and airway diseases http://bit.ly/3eMvc3E 📧 Get in touch with the EUFOREA team for any questions http://bit.ly/2OtlIQp 📌 EUFOREA is an international non-profit organisation aiming to implement optimal patient care for allergies and airway diseases (asthma, chronic rhinosinusitis, rhinitis) and comorbidities through education, research, and advocacy. #EUFOREA 📍 Follow us on social media Twitter: http://bit.ly/38wrrM7 LinkedIn: http://bit.ly/2OqtWsf Instagram: http://bit.ly/3TGB5jM Facebook: http://bit.ly/3cnNyFF Spotify (podcast): https://bit.ly/3yBa2l3