Quantitative sinonasal symptom assessment in an unselected pediatric population with cystic fibrosis

Jennifer L Wentzel1, Isabel Virella-Lowell, Rodney J Schlosser

  • 1Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.

Insights

The Sinus and Nasal Quality of Life Survey (SN-5) effectively measures sinonasal symptoms in children with cystic fibrosis (CF). Scores correlate with sinusitis episodes and missed school days, aiding in symptom monitoring.

Area of Science:

  • Pediatric Otolaryngology
  • Pulmonology
  • Quality of Life Research

Background:

  • Cystic Fibrosis (CF) often impacts sinonasal health in pediatric patients.
  • Establishing baseline sinonasal quality of life (QoL) is crucial for understanding disease burden.
  • Current QoL metrics need validation in unselected pediatric CF populations.

Purpose of the Study:

  • To determine baseline sinonasal QoL scores in children with CF.
  • To assess the correlation between sinonasal QoL scores and clinical outcomes.
  • To evaluate the utility of the Sinus and Nasal Quality of Life Survey (SN-5) tool.

Main Methods:

  • Utilized the SN-5 tool in 50 pediatric CF patients (ages 2-12).
  • Collected data on sinusitis episodes, antibiotic use, hospitalizations, and school absenteeism.
  • Reviewed CF genotype, pulmonary function, sinus surgery history, and CT scan results.

Main Results:

  • Pediatric CF patients had lower average SN-5 scores than reported for chronic sinusitis.
  • SN-5 scores correlated significantly with sinusitis episodes, antibiotic prescriptions, and missed school days.
  • No significant correlation found between SN-5 scores and CF genotype, pulmonary function, or hospitalizations.

Conclusions:

  • The SN-5 tool is a reliable and safe method for monitoring sinonasal symptoms in pediatric CF patients.
  • SN-5 scores provide valuable insights into the impact of sinonasal issues on daily life.
  • This tool can aid clinicians in managing sinonasal health in this population.
Abstract

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