Abstract

Chronic rhinosinusitis with nasal polyp (CRSwNP) can be controlled with medication or surgical treatment, yet limitations exist, and biologics can be an effective alternative for uncontrolled severe CRSwNP patients with poor response to traditional medication and multiple surgeries. In order to better understand the role of biologics in CRSwNP, pharmacokinetics and pharmacodynamics of monoclonal antibodies and local, systemic pathophysiology of CRSwNP in blood vessel, sinus mucosa, and nasal polyp are explored and explained in terms of pathomechanism of each biologic.

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