Allergy Asthma Respir Dis.
2023 Jul;11(3):126-134. 10.4168/aard.2023.11.3.126.
KAAACI Allergic Rhinitis Guidelines: Part 2. Update in nonpharmacotherapy
- Park SC1
- Chung SJ2,3
- Choi JH2,3
- Lee YJ4
- Yang HJ5
- Park DY6
- Kim DK7,8
- Lee IH7
- Kim SW9
- Kim DH9
- Jun YJ10
- Yang SI11
- Kim M12
- Ryu G13
- Kang SY14
- Lee SM14
- Kim MA15
- Kim HJ16
- Choi GS17
- Lee HJ18
- Kim HB
19 - Kim BS20
- Affiliations
-
- 1Department of Otorhinolaryngology-Head and Neck Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea
- 2Department of Pulmonology and Allergy, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea
- 3Allergy and Clinical Immunology Research Center, Hallym University College of Medicine, Chuncheon, Korea
- 4Department of Pediatrics, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea
- 5Department of Pediatrics, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea
- 6Department of Otolaryngology, Ajou University School of Medicine, Suwon, Korea
- 7Department of Otorhinolaryngology-Head and Neck Surgery, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Korea
- 8Institute of New Frontier Research, Division of Big Data and Artificial Intelligence, Hallym University College of Medicine, Chuncheon, Korea
- 9Department of Otolaryngology-Head and Neck Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
- 10Department of Otorhinolaryngology-Head and Neck Surgery, Uijeongbu Eulji Medical Center, Eulji University, Uijeongbu, Korea
- 11Department of Pediatrics, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea
- 12Department of Pediatrics, Chungnam National University Sejong Hospital, Sejong, Korea
- 13Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
- 14Division of Pulmonology and Allergy, Department of Internal Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea
- 15Department of Pulmonology, Allergy and Critical Care Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea
- 16Department of Preventive Medicine, College of Medicine, Korea University, Seoul, Korea
- 17Division of Allergy and Clinical Immunology, Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea
- 18Lee & Hong ENT, Sleep and Cosmetic Center, Seongnam, Korea
- 19Department of Pediatrics, Inje University Sanggye Paik Hospital, Seoul, Korea
- 20Department of Pediatrics, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea
- KMID: 2545007
- DOI: http://doi.org/10.4168/aard.2023.11.3.126
Abstract
- Allergic rhinitis is the most common chronic disease worldwide. Various upper airway symptoms lower quality of life, and due to the recurrent symptoms, multiple treatments are usually attempted rather than one definitive treatment. There are alternatives to medical (medication-based) and nonmedical treatments. A guideline is needed to understand allergic rhinitis and develop an appropriate treatment plan. We have developed guidelines for medical treatment based on previous reports. The current guidelines herein are associated with the “KAAACI Evidence-Based Guidelines for Allergic Rhinitis in Korea, Part 1: Update in pharmacotherapy” in which we aimed to provide evidence-based recommendations for the medical treatment of allergic rhinitis. Part 2 focuses on nonpharmacological management, including allergen-specific immunotherapy, subcutaneous or sublingual immunotherapy, nasal saline irrigation, environmental management strategies, companion animal management, and nasal turbinate surgery. The evidence to support the treatment efficacy, safety, and selection has been systematically reviewed. However, larger controlled studies are needed to elevate the level of evidence to select rational non-medical therapeutic options for patients with allergic rhinitis.
