Central Compartment Atopic Disease: Why the Diagnosis Goes Beyond a CT Scan

Central compartment atopic disease, or CCAD, is an allergy-associated form of chronic sinus disease. Its characteristic “black halo” appearance on CT can be helpful, but diagnosis depends on the history of allergy and where the tissue changes arise on nasal endoscopy. Recognising this pattern matters because treatment needs to address both the nasal obstruction and the underlying allergic response. Surgery may restore airflow and sinus drainage, while allergen immunotherapy can have an important role in longer-term care.

For further patient information about severe sinus disease and nasal polyps, visit Sydney Sinus Care, led by Professor Richard Harvey and Dr Peta-Lee Sacks.

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Richard Harvey

Richard currently works as a dedicated rhinologist (nose, sinus, allergy and endoscopic sinus and skull base surgery) at Macquarie University and St Vincent’s Hospitals in Sydney. He is the program head of Rhinology & Skull Base Surgery at the Applied Medical Research Center of UNSW and is Professor at both the University of NSW and Macquarie University.

Richard is one of Australia’s most successful academic surgeons. Richard practices in Sydney, Australia, as one of only a few dedicated rhinologists in the country. He has authored over 300 publications, books, book chapters and completed his PhD in trans-nasal skull base surgery.

Richard has a prolific career as a clinician researcher with a H-index over 60, which is an outstanding citation ranking for busy clinical surgeon in a niche field(1). Conjoint Professor Richard Harvey has been ranked as the top Australian researcher in otolaryngology in the past 4 years by The Research Special Report of The Australian newspaper(2). By any measure, Richard’s academic contribution is significant with inclusion in the Top 10 of all otolaryngology researchers in Australia and Top 100 researchers in the world(3). He also appears in Stanford’s list of Top 2% of scientists in the world(4, 5).

Richard has presented over 800 lectures and talks on sino-nasal disease management. He is the past Editor-in-chief of the Australian Journal of Otolaryngology (ww.w.TheAJO.com) as well as an associate editor for the Cochrane ENT disorders group currently and contributes to the editorial board for Rhinology Journal and other international journals. Prof Harvey is the current vice-president of the Australian & New Zealand Skull Base Society, past president of the Australian & New Zealand Rhinologic Society and the Australasian Academy of Facial Plastic Surgeons.

He is the recipient of the Australian Society of Otolaryngology Head & Neck Surgery Medal for Distinguished Contribution to the Art and Science of Otolaryngology Head and Neck Surgery, intended to recognize members providing outstanding OHNS services beyond their normal practice activities and the ESR Hughes Award from the Royal Australasian College of Surgeons for contributions to the profession. Along with training surgeons in both developed and emerging countries, Richard continues to run a series of courses in Sydney every year to further rhinologic education and training in Australia.

https://www.profrichardharvey.com
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Septal Perforation Repair: Why Closure Is No Longer Enough