Intranasal Azelastine for Recurrent Acute Rhinosinusitis Prophylaxis: A Multicenter Retrospective Study

KEY POINTS: Self-controlled analysis: mean episodes reduced from 2.72 to 1.18 per year; 56.6% reduction. Treatment effect consistent across subgroups, from patients using intranasal corticosteroids (ICS) to those with concurrent chronicc rhinosinusitis (CRS). Findings support prospective randomized controlled trial evaluation of azelastine for recurrent acute rhinosinusitis (RARS).

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Publication Details

Journal
International Forum of Allergy & Rhinology
Published
2026-08-14
DOI
https://doi.org/10.1002/alr.70244
Primary Topic
Sinusitis and nasal conditions
Type
article
Field-Weighted Citation Impact
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article

Intranasal Azelastine for Recurrent Acute Rhinosinusitis Prophylaxis: A Multicenter Retrospective Study

Yixuan James Zheng, Chadi A. Makary, Masayoshi Takashima, Jake Hacker et al.
International Forum of Allergy & Rhinology
Sinusitis and nasal conditions
article

Intranasal Azelastine for Recurrent Acute Rhinosinusitis Prophylaxis: A Multicenter Retrospective Study

Yixuan James Zheng, Chadi A. Makary, Masayoshi Takashima, Jake Hacker, Ron L. Moses, Akshay R. Prabhakar, Justina Varghese, Samuel E. Razmi, Utkarsh Singh, William Marshall, Omar G. Ahmed
article en

Abstract

KEY POINTS: Self-controlled analysis: mean episodes reduced from 2.72 to 1.18 per year; 56.6% reduction. Treatment effect consistent across subgroups, from patients using intranasal corticosteroids (ICS) to those with concurrent chronicc rhinosinusitis (CRS). Findings support prospective randomized controlled trial evaluation of azelastine for recurrent acute rhinosinusitis (RARS).

International Forum of Allergy & Rhinology
West Virginia University (US), Methodist Hospital (US)
Good health and well-being
Openalex Percentile: Top 7%
Sinusitis and nasal conditions
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Intranasal Azelastine for Recurrent Acute Rhinosinusitis Prophylaxis: A Multicenter Retrospective Study — Yixuan James Zheng, Chadi A. Makary, et al. · International Forum of Allergy & Rhinology (2026) | TGRS Research Map | TGRS