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Clinical and therapeutic aspects of sinusitis in children with bronchial asthma

L Businco, L Fiore, T Frediani

    International Journal of Pediatric Otorhinolaryngology
    |December 1, 1981
    PubMed

    Insights

    Sinusitis is common in children with bronchial asthma. Treating sinus disease in asthmatic children significantly improved their asthma symptoms, suggesting a link between the two conditions.

    Area of Science:

    • Pediatric Pulmonology
    • Otolaryngology
    • Allergy and Immunology

    Background:

    • Bronchial asthma is a chronic respiratory condition affecting many children.
    • Sinusitis, an inflammation of the sinuses, is frequently observed in pediatric patients.
    • The potential link between sinusitis and asthma severity in children requires further investigation.

    Purpose of the Study:

    • To investigate the prevalence of sinusitis in children with bronchial asthma.
    • To evaluate the impact of sinusitis treatment on asthma symptoms and severity in pediatric patients.

    Main Methods:

    • Eighty children (4-14 years) with bronchial asthma were assessed for sinusitis.
    • Fifty-five children with confirmed sinusitis received treatment for their sinus condition.
    • Two therapeutic approaches were used: ampicillin, phenylephrine, and triprolidine (Therapy A) or ampicillin replaced by beclomethasone (Therapy B).

    Main Results:

    • Fifty-five out of 80 asthmatic children presented with clinical and radiological findings of sinusitis.
    • Treatment of sinusitis led to significant improvement in sinus X-rays for 34 children.
    • Twenty children experienced a considerable decrease in asthma severity and symptom resolution (P < 0.001).

    Conclusions:

    • Sinusitis is highly prevalent in children suffering from bronchial asthma.
    • Treating sinusitis in asthmatic children can lead to substantial improvement in their respiratory condition.
    • Routine screening for sinus disease is recommended for all children diagnosed with bronchial asthma.

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