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In children undergoing nasal polypectomy, allergy is a frequent underlying cause of nasal polyposis. This study highlights the significant role of allergic disease in pediatric nasal polyps, suggesting allergy testing for affected children.
Area of Science:
- Pediatric Otolaryngology
- Allergy and Immunology
Background:
- Nasal polyps are common in children, but underlying causes require further investigation.
- Identifying predisposing conditions is crucial for effective management of pediatric nasal polyposis.
Purpose of the Study:
- To determine the prevalence of allergic disease in children who underwent nasal polypectomy.
- To identify other potential predisposing conditions associated with nasal polyps in pediatric patients.
Main Methods:
- Retrospective review of hospital admission cases for nasal polypectomy in patients under 18 years old over a five-year period.
- Assessment for evidence of allergy and other predisposing conditions, including cystic fibrosis and Kartagener's syndrome.
- Evaluation of allergic disease based on eight defined criteria.
Main Results:
- Two patients had cystic fibrosis, and one had Kartagener's syndrome.
- Among the remaining 21 patients, 12 (57%) met four or more criteria for allergic disease.
- Allergic conditions were frequently identified in children with nasal polyps.
Conclusions:
- Allergy is a significant causative factor in the majority of pediatric nasal polyposis cases.
- The findings support the consideration of allergy as a primary factor in children presenting with nasal polyps.
- Further research into the link between allergy and pediatric nasal polyposis is warranted.
Abstract:
In this study, the cases of patients under age 18 who had been admitted to the hospital over a five-year period for nasal polypectomy were reviewed for evidence of allergy or other possible predisposing conditions. Two of the children had cystic fibrosis and one had Kartagener's syndrome. Of the remaining 21 patients, 12 (57%) had four or more positive criteria for allergic disease, out of eight criteria considered. It is concluded that in the majority of children with nasal polyposis, allergy can be implicated as a causative factor.