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Long-term follow-up of chronic therapy resistant purulent rhinitis in children
F W Otten1, A Van Aarem, J J Grote
1Department of Otorhinolaryngology, University Hospital Leiden, The Netherlands.
Clinical Otolaryngology and Allied Sciences
|February 1, 1992
Insights
Chronic purulent rhinitis in children often resolves spontaneously, typically by age seven. This study found spontaneous resolution in 95% of cases after medical and surgical treatments failed.
Area of Science:
- Otolaryngology
- Pediatric Medicine
- Allergy and Immunology
Background:
- Chronic purulent rhinitis poses a significant challenge in pediatric care.
- Treatment resistance is common, necessitating long-term management strategies.
Purpose of the Study:
- To investigate the natural course and long-term outcomes of chronic purulent rhinitis in children.
- To determine the rate of spontaneous resolution in cases unresponsive to conventional therapies.
Main Methods:
- A cohort of forty children with chronic purulent rhinitis was prospectively followed.
- Study included children whose condition was unresponsive to prior medical and surgical interventions.
Main Results:
- Spontaneous resolution of chronic purulent rhinitis was observed in 95% of the studied children.
- Resolution typically occurred after the children reached the age of seven years.
- The mean follow-up period was six years and nine months.
Conclusions:
- Chronic purulent rhinitis in children frequently exhibits spontaneous resolution.
- Age, particularly reaching seven years old, appears to be a significant factor in remission.
- Observation and watchful waiting may be a viable approach for select pediatric cases.
Abstract:
Forty children diagnosed as having chronic purulent rhinitis unresponsive to medical and surgical management were studied. After a mean follow-up of six years and nine months the condition resolved spontaneously in 95% of the children, usually after reaching the age of 7 years.