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Published on: November 7, 2020
Nasal Disorders
Mariah M Servos Li1, Erin R S Hamersley1,2, Cristina Baldassari1,3
1Department of Otolaryngology-Head and Neck Surgery, Eastern Virginia Medical School, Norfolk, VA.
Insights
Common nasal symptoms like obstruction and nosebleeds in children are usually benign but can rarely signal serious conditions. This review covers frequent and rare pediatric nasal disorders for primary care providers.
Area of Science:
- Pediatric Otolaryngology
- Primary Care Medicine
Background:
- Nasal obstruction, rhinorrhea, and epistaxis are frequent pediatric complaints impacting quality of life.
- While often benign, these symptoms can indicate serious underlying pathology, especially in infants.
Purpose of the Study:
- To review common and rare pediatric nasal disorders encountered in primary care.
- To emphasize the importance of a comprehensive differential diagnosis for nasal complaints.
Main Methods:
- Literature review of common and rare pediatric sinonasal conditions.
- Discussion of age-dependent etiologies for nasal symptoms.
Main Results:
- Common causes include physiologic, infectious, allergic, foreign body, irritant, and traumatic factors.
- Less common causes involve congenital malformations, sinonasal masses, autoimmune diseases, and hematologic/vascular abnormalities.
- Epistaxis causes range from inflammatory to rare tumors and vascular issues.
Conclusions:
- Primary care providers should be aware of the broad differential diagnosis for pediatric nasal disorders.
- Timely recognition of rare but serious conditions is crucial for optimal patient outcomes.
Abstract:
Nasal obstruction, rhinorrhea, and epistaxis are common presenting concerns in primary care clinics. Nasal disorders affect the quality of life for many children and families. Rarely, these complaints may represent a life-threatening condition among infant obligate nasal breathers or cases of unusual pathology. The most common causes of rhinorrhea and nasal obstruction vary by age and include physiologic, infectious, allergic, foreign body, irritant, and traumatic causes. Less commonly, children may have congenital malformations, sinonasal masses, or autoimmune disease. The most common causes of epistaxis are inflammatory, environmental, and traumatic causes and medication misuse, but rarely, children may have predisposing anatomic, hematologic, or vascular abnormalities or even sinonasal tumors. In this article, we provide a thorough review of the common nasal disorders treated every day in primary care clinics and mention briefly some of the rare but serious cases that may be overlooked without considering a full differential diagnosis.
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