Efficacy of Adenoidectomy on Pediatric Chronic Rhinosinusitis.
- Author:
Chan RHYOO
1
;
Min Kyo JUNG
;
Joo Hyung LEE
;
Chan Soon PARK
;
Il Ro LEE
Author Information
1. Department of Otolaryngology Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. cmkkk@lycos.co.kr
- Publication Type:Original Article
- Keywords:
Pediatric chronic rhinosinusitis;
Adenoidectomy
- MeSH:
Adenoidectomy*;
Adenoids;
Bacteria;
Caregivers;
Child;
Drainage;
Headache Disorders, Primary;
Humans;
Nasal Obstruction;
Nasopharynx;
Sputum
- From:Journal of Rhinology
2002;9(1, 2):41-46
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND AND OBJECTIVES: Adenoid vegetation can induce chronic rhinosinusitis in children by obstruction of the nasopharynx or as a reservoir for bacteria. The aim of this study is to determine the efficacy of adenoidectomy in chronic pediatric rhinosinusitis. Materials and Methods: Symptoms of chronic rhinosinusitis were evaluated in 17 patients who underwent an adenoidectomy between November 2001 and July 2002. Patients' age ranged from 4 to 11 years old. Caregivers of the patients were asked about symptoms of chronic rhinosinusitis, which were nasal obstruction, rhinorrhea, postnasal drainage, headache, cough and sputum, by a 10-graded visual analogue scale of 6 items at preoperative and postoperative 2, 3, 4, 5, 6, 8, 10 and 12 weeks, respectively. We assessed the grades of plain radiographic (Waters' view) findings at postoperative 1, 2 and 3 months consecutively. RESULTS: Symptoms of chronic rhinosinusitis were significantly improved following adenoidectomy. Significant improvement of symptom scores began at postoperative 2 weeks on the average. Plain radiographic findings were significantly improved at postoperative 1 month. After postoperative 7 months, 'Cure' was reported in 9 (53%) of 17 patients. Conclusions: In majority of cases, symptoms and radiographic findings of chronic rhinosinusitis in children are improved by adenoidectomy. Adenoidectomy should be considered as a first-line surgical option for pediatric chronic rhino-sinusitis.
