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Clinical presentation of acute rhinosinusitis in children reflects paranasal sinus development
Gian Luigi Marseglia1, Fabio Pagella, Davide Caimmi
1Dipartimento di Scienze Pediatriche, Fondazione IRCCS Policlinico San Matteo, Università di Pavia, Italy. gl.marseglia@smatteo.pv.it
Insights
Age significantly impacts how acute rhinosinusitis (ARS) presents in children. This study found distinct clinical patterns based on age in pediatric patients with mild-moderate ARS.
Area of Science:
- Pediatric Otolaryngology
- Respiratory Medicine
- Clinical Research
Background:
- Acute rhinosinusitis (ARS) is characterized by respiratory symptoms lasting over 10 days without improvement.
- Understanding age-related variations in ARS presentation is crucial for accurate diagnosis and management in children.
Purpose of the Study:
- To investigate the influence of age on the clinical presentation of mild-moderate acute rhinosinusitis in children.
- To identify age-specific patterns in pediatric ARS.
Main Methods:
- Prospective evaluation of 287 children (aged 2-15 years) with suspected mild-moderate ARS.
- Nasal endoscopy was utilized for diagnostic confirmation in all participants.
Main Results:
- Nasal endoscopy confirmed ARS in 89.2% of the evaluated children.
- A significant correlation was observed between patient age and the clinical presentation pattern of ARS.
Conclusions:
- Age is a significant factor influencing the clinical presentation of mild-moderate ARS in the pediatric population.
- Findings support the need for age-considerate diagnostic approaches in childhood ARS.
Background:
Acute rhinosinusitis (ARS) usually presents with respiratory symptoms that persist for more than 10 days without improving. The aim of the study was to establish whether age may have any influence on the clinical presentation during childhood.
Methods:
This prospective study evaluated 287 consecutive children (152 males and 135 females, aged between 2 and 15 years), in whom mild-moderate ARS was clinically suspected. Nasal endoscopy was performed in all of them to confirm the diagnosis.
Results:
Endoscopy confirmed clinical diagnosis of ARS in 256 patients (89.2%). The age has shown to have significant influence on the clinical presentation pattern.
Conclusions:
This study provides evidence that age significantly influences the clinical presentation in children with mild-moderate ARS.
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