It’s In The Genes

Question: A 34 year old male with cystic fibrosis presents to the ENT clinic with nasal obstruction and recurrent sinus infections. He has not had prior sinus surgery. Examination reveals nasal polyps in the middle meatus on both sides and non purulent rhinorrhea. Which of the following is true regarding the paranasal sinuses in cystic fibrosis?

a) Approximately 5% of patients with cystic fibrosis have rhinosinusitis

b) Patients with cystic fibrosis have larger frontal sinuses

c) Neo-osteogenesis of the maxillary sinus is uncommon

d) Improvement in sinonasal disease control can improve pulmonary outcomes

[Answer will be posted with next week's new question]

Answer to last week's question, “Breathe In The Air” (October 4, 2021)

C - Injection laryngoplasty with carboxymethylcellulose based agent lateral to thyroarytenoid muscle.