Dr. Higgins, along with Dr. Douglas Reh from Johns Hopkins Medical Institutions, recently published an invited review article in Current Opinions in Otolaryngology-Head and Neck Surgery that discusses the effect of environmental pollutants on nasal disease. The abstract of the article is available on PubMed here. Many environmental pollutants are associated with chronic rhinitis, including ozone, tobacco smoke (both second-hand and active smoking), particulate matter, and occupational irritants. Some exposures cause local irritation and others can cause severe toxicity to the nasal passages. There are medical options that help limit symptoms, but the most effective therapy is identifying and avoiding the specific exposures.
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