| Editorial |
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The 1st IESRT meeting, held in Nancy in December 2008, has been a rich experience in exchanging new ideas and concepts.
Allergic reactions and the ostio-meatal complex are not sufficient to understand the wide range of dysfunctions in the nose & sinus organ. The rhinosinusitis concept, which sees nose and sinus as a single entity, is inadequate to understand why different pathologies do preferentially develop in specific anatomic area of the nose or sinuses. Another way to understand physiology and pathology, diagnosis and treatment of the olfactory and respiratory noses and of the sinuses can be drawn from our knowledge in 1) the embryonic development of the olfactory placode, nasal cavities and sinuses and 2) the phylogenetic evolution showing how the olfactory organ has been caught by our respiratory apparatus. Besides its roles in respiration and olfaction, the nose has an aesthetic role. Nasal pyramid's morphology is in part determined by the antagonistic growing of its cartilaginous and bony components, especially at the level of the nasal septum. If one considers the septolateral unit as a keystone placed between the maxillo-nasal arches of the bony nasal pyramid and the alar cartilages of the nasal tip, then septorhinoplasty can be decomposed in three fundamental steps in order to restore the natural aesthetic and the breathing function of the nose. The nose (the current septo-pyramido-naso-sinusal organ) is originally a sensory (olfactory) organ, to which Evolution has added respiratory and aesthetic roles.The 2010 IESRT meeting is aimed to look at new and practical insights into these three faces of Rhinology. R. Jankowski |
Therefore we want to repeat this experience in December 10th-12th, 2010 with the same objectives: trying to understand nose and sinus diseases beyond the current consensus and progress in diagnosis and treatment.