Clinical analysis of chronic rhinosinusitis in children.
- Author:
Tao WANG
1
;
Qintai YANG
;
Peng LI
;
Xian LIU
;
Gehua ZHANG
Author Information
1. Department of Otolaryngology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, China.
- Publication Type:Journal Article
- MeSH:
Adolescent;
Child;
Child, Preschool;
Chronic Disease;
Combined Modality Therapy;
Endoscopy;
Female;
Humans;
Male;
Sinusitis;
surgery;
therapy
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2010;24(11):489-492
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To determine the ideal treatment for the pediatric patients with chronic rhinosinusitis.
METHOD:Eighty-eight patients (aged 5-14 years) were divided into group A, B, C. In group A, 30 cases (60 sides) who had chronic rhinosinusitis without nasal polyps were treated systemically with medicine. In group B, 31 cases (62 sides) were chronic rhinosinusitis without nasal polyps and accompanied by adenoid vegetation and/or chronic tonsillitis,and were systemically treated with a combined therapy of medicine and adenoidectomy and/or tonsillectomy. In group C, 27 cases (54 sides) were chronic rhinosinusitis with nasal polyps,and were treated systemically with medicine and endoscopic sinus surgery.
RESULT:All patients were followed up for 12-18 months, with an average of 16 months. In group A, 48 sides were cured, 8 sides improved and 4 sides showed no effect. In group B, 46 sides were cured, 10 sides improved and 6 sides showed no effect. In group C, 40 sides were cured, 8 sides improved and 6 sides showed no effect. There were no significant differences in the efficacy among the three groups (P > 0.05).
CONCLUSION:Systemic medical treatment should be the first choice for chronic rhinosinusitis in children. Children with adenoid vegetation and/or chronic tonsillitis are basically treated with systemic medicine combined with adenoidectomy and/or tonsillectomy. Administration of medicine before and after the endoscopic surgery is more efficient for chronic rhinosinusitis with nasal polyps in children.
