[The character of pediatric chronic sinusitis with chronic cough]
Liu Yang1, Dezheng Tang, Chuanxin Duan
1Department of Otorhinolaryngology, Hubei Maternal and Child Hospital, Wuhan, 430071, China. yangliu0908@yahoo.com.cn
Objective:
To evaluate clinical and imaging character of chronic rhinosinusitis in the children with chronic cough and to discuss the treatment of them.
Method:
Fifty-three children with chronic cough were examined by otolaryngologists and evaluated by computed tomography (CT) scan. Some of them were also evaluated by nasal endoscope. There was not any finding of lung in chest X-ray in Adhese children and children with immunodeficiency were ruled out from the study. The children with chronic sinusitis were treated according to general protocols for 6 to 8 weeks, among them those with adenoid vegetation accepted adenoidectomy.
Result:
Forty-three cases of 53 children with chronic cough, aged from 2 years and 10 months to 13 years old (average 7 years old), were proved with sinusitis by CT. The main symptom of them was chronic cough. Thirty-five cases of these 43 children were with purulence, among them, 8 cases with mucoid in middle meatus, 28 cases with folliculosis in posterior oropharynx, and 6 children with adenoid vegetation. Clinical stage of 19 cases of 53 children were belonged to I type 3 stage, 19 cases belonged to I type 2 stage, 5 cases belonged to I type 1 stage. The maxillary sinus was most frequently involved, followed by the ethmoid sinus, the frontal sinus, the sphenoid sinus. All of the 43 children with sinusitis accepted treatment for 6 to 8 weeks. After treatment, 81.4% of patients were fully recovered, 18.6% significantly improved, 4 with adenoidectomy and 2 with tympanostomy tubes.
Conclusion:
The relationship between chronic sinusitis and chronic cough in children was closer than that in adults. It is very easy to make misdiagnosis because of other symptoms.
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