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[Effects of frequent antral lavage on chronic sinusitis in children]
S Nishii1, Y Majima, T Nonoyama
1Department of Otorhinolaryngology, Mie University School of Medicine, Tsu.
Insights
Frequent antral lavage effectively treats pediatric sinusitis in children aged 4-15. This method significantly improved sinus opacity, offering a useful therapeutic option for young patients.
Area of Science:
- Otolaryngology
- Pediatric Medicine
- Medical Procedures
Context:
- Pediatric sinusitis presents a common clinical challenge.
- Traditional treatments may have limitations in efficacy or duration.
- Surgical interventions often require careful consideration in pediatric populations.
Purpose:
- To evaluate the efficacy of frequent antral irrigations as a treatment for pediatric sinusitis.
- To assess the impact of antral lavage on sinus opacity in children.
- To determine the long-term effectiveness of this therapeutic modality.
Summary:
- Eighty pediatric patients (ages 4-15) underwent treatment for sinusitis using indwelling catheters for frequent antral lavages.
- Procedures involved antral puncture via the inferior meatus under anesthesia, with lavages performed thrice daily for 7-10 days.
- Radiographic assessments (Waters view, occipito-frontal view) showed significant improvement in maxillary and ethmoid sinus opacity post-treatment, sustained for over 5 months.
Impact:
- Frequent antral lavage demonstrates significant therapeutic benefits for pediatric sinusitis.
- The procedure leads to sustained radiographic improvement in sinus health.
- This minimally invasive approach offers a valuable treatment option for pediatric sinusitis.
Abstract:
Eighty cases of pediatric sinusitis (4 to 15 years old, averaged 8 years old) were treated with frequent antral irrigations. Antral puncture was made through the inferior meatus with a Kyoto University needle under topical or general anesthesia. Then a plastic tube of 14G Medicut intravenous cannula was left in place to serve as an indwelling catheter. Antral lavages were performed through this tube 3 times daily for 7 to 10 days. The opacity of the maxillary sinus at post-treatment was improved significantly compared with that at pre-treatment in Waters view. This improvement was continued even at about 5.7 months after treatment. The opacity of the ethmoid sinus was also improved significantly after the treatment in occipito-frontal view. Our results suggest that the frequent antral lavage is an useful therapeutic modality for pediatric sinusitis.