Table 3

Consideration of sinonasal disease in bronchiectasis

Importance of upper airwayValue of upper airway assessment
Morbidity attached to upper airways diseaseReduction in inflammation may improve quality of life
Similar mucosal surfaces and inflammatory responsePotential marker of lower airway disease
Potential site for future research to assess drug responses
Treatment may reduce lower respiratory inflammation
Paranasal sinuses and nose may act as reservoir for respiratory pathogensPseudomonas eradication regimens may require sinonasal elimination
Treatment of sinonasal disease may reduce frequency of lower respiratory infection
Treatment for lung transplant patients may reduce recolonisation of transplanted lung