IngentaConnect Nasal endoscopy in asthmatic children: assessment of rhinosinusit...

Authors: Tosca, M. A.¹; Riccio, A. M.¹; Marseglia, G. L.²; Caligo, G.³; Pallestrini, E.³; Ameli, F.³; Mira, E.⁴; Castelnuovo, P.⁴; Pagella, F.⁴; Ricci, A.²; Ciprandi, G.³; Canonica, G. W.³

Source: Clinical & Experimental Allergy, Volume 31, Number 4, April 2001 , pp. 609-615(7)

Publisher: Blackwell Publishing

Abstract:

Background

Upper respiratory airway diseases may induce a worsening of asthma. Sinusitis represents one of the most common chronic diseases. The association of asthma and sinusitis varies greatly in different studies, depending on diagnostic procedures. Objective

The aims were: (i) to demonstrate that nasal endoscopy may be easily feasible in asthma at paediatric age; (ii) to evaluate the incidence of rhinosinusitis and adenoiditis in children with asthma by nasal endoscopy; (iii) to correlate inflammatory parameters such as cytology and microbiological cultures with nasal endoscopy findings. Subjects and methods

One hundred and forty-five asthmatic children were evaluated, 48 males and 97 females, with an average age of 7.27 years. Evaluated parameters were the incidence of rhinosinusal infections in asthmatic children, and the role of: (i) nasal endoscopy, (ii) nasal cytology, and (iii) nasal microbiology in their diagnoses. Results

Nasal endoscopy was successfully performed on 128 patients. Twenty-six children had endoscopic rhinosinusitis alone, 10 had adenoiditis alone, and 35 showed endoscopic rhinosinusitis associated with adenoiditis. There were significant correlations between endoscopic rhinosinusitis and adenoiditis (P < 0.001), between clinical and endoscopic rhinosinusitis (P < 0.001), between endoscopic rhinosinusitis and adenoiditis and microbiology (P < 0.05 and P < 0.0001, respectively), and between microbiology and cytology (P < 0.05). Conclusion

This study shows that rhinosinusal infections are common in asthmatic children. Moreover, nasal endoscopy might represent a fruitful tool in the management of asthmatic children.

Keywords: asthmatic children; rhinosinusitis; adenoiditis; nasal endoscopy; microbiology; cytology

Document Type: Research article

DOI: 10.1046/j.1365-2222.2001.01057.x

Affiliations: 1: Allergy & Respiratory Diseases, Department of Internal Medicine, University of Genoa and 2: Paediatric Clinic, University of Pavia, Pavia, Italy 3: Head Neck Department, San Martino Hospital, Genoa, 4: ENT Clinic and

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Nasal endoscopy in asthmatic children: assessment of rhinosinusitis and adenoiditis incidence, correlations with cytology and microbiology