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Published on: August 7, 2017
Symptomatology and etiology of chronic pediatric rhinosinusitis
Adem Emre Ilhan1, Murat Karaman, Arman Tekin
1Department of Otolaryngology, Ümraniye Training and Research Hospital, İstanbul, Turkey.
Insights
Environmental factors significantly contribute to pediatric chronic rhinosinusitis. Prevention strategies include limiting school contact, avoiding parental smoking, and annual vaccinations against influenza and Streptococcus pneumoniae.
Area of Science:
- Pediatric Otolaryngology
- Environmental Health
Background:
- Chronic rhinosinusitis (CRS) is a common condition in children.
- Understanding its symptoms, causes, and prevention is crucial for effective management.
Purpose of the Study:
- To define the symptoms and etiological factors of chronic rhinosinusitis in children.
- To determine effective prevention strategies for pediatric CRS.
Main Methods:
- A study involving 50 pediatric patients diagnosed with CRS.
- Data collection included symptomatology questionnaires, etiological factor assessment (school attendance, parental smoking, asthma history), and diagnostic tests (hemogram, allergy tests, radiography).
Main Results:
- Key symptoms reported were nasal obstruction (90%), headache (70%), and postnasal dripping (62%).
- Identified etiological factors included school attendance (68%), parental smoking (48%), positive allergy tests (42%), and adenoid vegetation (60%).
Conclusions:
- Environmental factors play a significant role in the etiology of pediatric CRS.
- Recommended prevention measures include reducing close contact in schools, prohibiting smoking at home, and advocating for annual influenza and Streptococcus pneumoniae vaccinations.
Objectives:
This study aims to define symptoms and etiology and determine how to prevent chronic rhinosinusitis in children.
Patients And Methods:
Between February 2003 and February 2005, 50 pediatric patients (25 girls and 25 boys; mean age 8.22 years; range 4 to 14 years) with chronic rhinosinusitis were included in the study. The patients were questioned about anterior/posterior nasal dripping, night cough, headache, nausea, vomiting and nasal obstruction for symptomatology; about school condition, smoking behavior of parents and history of asthma for etiology. Hemogram, serum biochemistry, allergy test, nasal smear, chest and lateral neck radiography and sweat test were performed.
Results:
Symptomatologic examination revealed that 48% had anterior nasal dripping, 62% with postnasal dripping, 70% with headache and 90% with nasal obstruction. Evaluation of etiological factors revealed that 68% were going to school, 48% of the parents had the history of smoking, 42% with allergy test-positivity and 60% with adenoid vegetation.
Conclusion:
Our study results indicated that environmental factors are important as etiological factors in rhinosinusitis. For prevention, we recommend restriction of close relationship at school, not to smoke at home and vaccination in each year with influenza and S. pneumonia vaccine.
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