Clinical Characteristics of Chronic Paranasal Sinusitis in the Patients with End Stage Renal Disease.
- Author:
Min Cheol SEO
1
;
Min Gwan KIM
;
Bo Hyeon KANG
;
Bong Jae LEE
;
Yong Jae KIM
Author Information
1. Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. yjkim@amc.seoul.kr
- Publication Type:Original Article
- Keywords:
End stage renal disease;
Renal transplantation;
Paranasal sinusitis;
Endoscopic sinus surgery;
Postoperative bleeding
- MeSH:
Hemorrhage;
Humans;
Incidence;
Kidney Failure, Chronic*;
Kidney Transplantation;
Mass Screening;
Medical Records;
Mortality;
Nasal Obstruction;
Nasal Polyps;
Otolaryngology;
Prevalence;
Retrospective Studies;
Sinusitis*;
Transplantation
- From:Journal of Rhinology
2001;8(1, 2):46-49
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND AND OBJECTIVES: Infections account for much of the morbidity and nearly half of the mortality in renal transplant recipient. Recently there has been a marked increase in the number of renal transplantation and preoperative screening test for chronic paranasal sinusitis. Authors analyzed the clinical manifestations and postoperative courses after the endoscopic sinus surgery in the patients with end stage renal disease. MATERIALS AND METHODS: 1,175 patients had been consulted to the otolaryngology department for routine evaluations about the presence of acute and chronic paranasal sinusitis prior to kidney transplantation between Jun. 1989 to Aug. 1998. Among them, 30 patients were diagnosed as significant chronic paranasal sinusitis and 5 patients were treated with endoscopic sinus surgery. Medical records and radiographs of the 30 patients were reviewed retrospectively. RESULTS: The prevalence of chronic paranasal sinusitis in patients with end stage renal disease was 2.5%. Twelve patients were asymptomatic and chief complaints of symptomatic patients were nasal obstruction (55.6%), rhinorrhea (27.8%), and postnasal drip (16.7%). Eleven patients had nasal polyps and twelve patients showed purulent discharge. All the patients who were surgically treated experienced postopertive bleeding and 2 of them required transfusion. CONCLUSION: The presence of asymptomatic sinusitis among the patients with end stage renal disease necessitates diagnositc screening tests for chronic paranasal sinusitis. The incidence of postoperative bleeding after endoscopic sinus surgery in patients with end stage renal disease is much higher than that of otherwise healthy sinusitis patients.
