A reVieW oF endosCopiC sinUs sUrGery in the mAnAGement oF ChroniC rhinosinUsitis And nAsAl polyposis in pediAtriC CystiC FiBrosis pAtients
| Autor: | Lidia Zawadzka-Głos, Zuzanna Gorski |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Cystic Fibrosis business.industry Chronic rhinosinusitis General surgery chronic rhinosinusitis lcsh:R lcsh:Medicine General Medicine medicine.disease Cystic fibrosis Pediatrics functional endoscopic sinus surgery Surgery Endoscopic sinus surgery chronic nasal obstruction medicine otorhinolaryngologic diseases nasal polyposis business |
| Zdroj: | New Medicine, Vol 20, Iss 4, Pp 118-124 (2016) |
| ISSN: | 1731-2507 1427-0994 |
| Popis: | Introduction. Cystic fibrosis (CF) is an autosomal recessive disease affecting the epithelial lining of the respiratory tract andexocrine glands (1-5). many children suffering from CF are often diagnosed and treated for various co-morbidities, includingchronic rhinosinusitis (Crs) and nasal polyposis (np) (3, 4, 6, 7), which will remain the focus of this article.Aim. the aim of this study was to examine the characteristic of patients with cystic fibrosis (CF) admitted to the pediatricotolaryngology department due to coexisting chronic rhinosinusitis (Crs) or nasal polyposis (np). the study focused on thedemographics, symptoms and management of children with CF with coexisting Crs and/or np. the data was then compared tothe results that had been presented in the literature.Material and methods. A retrospective study of 26 pediatric patients previously diagnosed with CF that were admitted to thedepartment of pediatric otolaryngology of the medical University of Warsaw between 2010 and 2015 was conducted. patients’medical histories were carefully reviewed. data on patients’ age, gender, symptoms and CF comorbidities were collected. thenumber and type of procedures performed on each patient were documented. Further assessment of the localization of polypswas performed in all np-positive patients.Results. the study included 26 patients (15 males and 11 females). mean age was 9 years. Crs and np was present in 100% and88.5% of the patients, respectively. 23 children underwent a total of 35 sinus surgeries due to Crs and/or np. 6 patients requiredone or more revision surgeries, with a total revision rate of 54.1%. Adenoidectomy (At) and/or adenotonsillectomy (Att) wasperformed in 10 patients. 5 children were disqualified from the surgery, due to various reasons. the most common localizationof np was maxillary sinus, followed by ethmoid sinus, sphenoid sinus, frontal sinus, and nasal cavity.Conclusions. due to a wide range of clinical findings in many organs and high variability of symptoms in individual cases, thereis currently no standardized treatment regimen for pediatric CF patients with Crs or np. early intervention and a multidisciplinary approach are highly recommended, due to a positive correlation between the increase in patient’s age and the number ofadmissions and reoperations. endoscopic sinus surgery should be considered in CF patients with refractory, chronic or severeacute Crs or np. |
| Databáze: | OpenAIRE |
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