Pediatric Unilateral Chronic Sinusitis: Clinical and Radiological Patterns Compared to Adults

Publish Year: 1403
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:

JR_IJOTO-36-3_001

تاریخ نمایه سازی: 18 اردیبهشت 1403

Abstract:

Introduction: Upper respiratory tract infections and sinusitis are more prevalent in children than in adults. Unilateral sinusitis is not uncommon disease. Our aim was to analyze the disease characteristics in children with unilateral sinusitis and compare them with those of adults.Materials and Methods: This study included ۱۲۴ patients with unilateral chronic sinusitis divided according to age into two groups: pediatric group ≤۱۸ years (۶۶ cases) and adult group >۱۸ years (۵۸ cases). The groups were compared in terms of demographic data, side, clinical manifestations and radiological findings.Results: In pediatric patients, the most common inflammatory pathology was antrochoanal polyps, followed by allergic fungal sinusitis. On the other hand, chronic sinusitis without nasal polyps is the most common in adults, followed by antrochoanal polyps. The mean duration of clinical manifestations before diagnosis in pediatric patients was significantly shorter than that in adults (P=۰.۰۰۱). The most common symptoms in both pediatric and adult patients were anterior nasal discharge and nasal obstruction. Proptosis was significantly higher in pediatric group than in adult group (P=۰.۰۱۵). On computed tomography (CT), the most commonly affected sinus in both pediatric and adult patients was the maxillary sinus followed by the anterior ethmoid sinus. Bone expansion, erosion and involvement of adjacent structures were significantly higher in pediatric patients (P=۰.۰۲۸, ۰.۰۲۷ respectively).Conclusion: Pediatric patients have a high incidence of antrochoanal polyps and allergic fungal sinusitis as unilateral inflammatory lesions. These lesions require surgical management. Inflammatory paranasal sinus lesions in pediatric patients have a shorter duration of clinical manifestations and a higher incidence of bone erosion and involvement of adjacent structures; therefore, early diagnosis and management prevent complications.

Authors

Ahmed Sadek

Department of otorhinolaryngology- faculty of medicine- Minia University – Egypt.

Maisara Nasr

Department of otorhinolaryngology- faculty of medicine- Minia University – Egypt.

Ahmed Badawi

Department of otorhinolaryngology- faculty of medicine- Minia University – Egypt.

Tamer Esmaeel

Department of Diagnostic Radiology, Faculty of Medicine, Minia University, Egypt..

Osama Awad

Department of otorhinolaryngology- faculty of medicine- Minia University – Egypt.