REVIEW PAPER
Current issues in the diagnostics of paediatric chronic rhinosinusitis
1
Scientific Association at the Chair and Department of Pediatric Otolaryngology, Medical University, Lublin, Poland
2
Chair and Department of Pediatric Otolaryngology, Medical University, Lublin, Poland
Corresponding author
Aleksandra Obuchowska
Scientific Association at the Chair and Department of Pediatric Otolaryngology, Medical University of Lublin
Scientific Association at the Chair and Department of Pediatric Otolaryngology, Medical University of Lublin
J Pre Clin Clin Res. 2021;15(3):134-136
KEYWORDS
TOPICS
ABSTRACT
Introduction and objective:
Paediatric chronic rhinosinusitis (PCRS) is a common disease in children. It is defined as an ongoing inflammation of the nasal cavity and sinuses lasting for over 12 weeks. Due to prevalence in the population, PCRS is associated with a high healthcare and financial burden. During the examination, attention should be paid to symptoms that may suggest chronic rhinosinusitis (CRS), because it may be underdiagnosed. Due to the chronicity of the inflammatory process and the similarity of symptoms to allergic rhinitis and adenoid hypertrophy, diagnosis and treatment are difficult. In this review, guidelines from The European Position Paper on Rhinosinusitis and Nasal Polyps (EPOS) 2020 and recent literature reports from Medline and Scopus database are analysed.
Review methods:
Information was obtained through a review and analysis of the PubMed Medline and Scopus databases.
Brief description of the state of knowledge:
Diagnostic difficulties with CRS can be caused by many factors. The EPOS guidelines recommend flexible or rigid nasal endoscopy as a preliminary objective method to assist in the recognition of CRS. Computed tomography (CT) is not recommended for routine management; therefore, CT is the gold standard for imaging when establishing a PCRS diagnosis or preparing for sinus surgery. The use of conventional X-ray imaging for chronic rhinosinusitis is limited and not recommended.
Conclusions:
Understanding the symptoms of chronic rhinosinusitis is of utmost importance in daily practice. Early initial assessment of symptoms in children with a high probability of CRS allows for early diagnosis and reduces the need for endoscopic and imaging examination.
Paediatric chronic rhinosinusitis (PCRS) is a common disease in children. It is defined as an ongoing inflammation of the nasal cavity and sinuses lasting for over 12 weeks. Due to prevalence in the population, PCRS is associated with a high healthcare and financial burden. During the examination, attention should be paid to symptoms that may suggest chronic rhinosinusitis (CRS), because it may be underdiagnosed. Due to the chronicity of the inflammatory process and the similarity of symptoms to allergic rhinitis and adenoid hypertrophy, diagnosis and treatment are difficult. In this review, guidelines from The European Position Paper on Rhinosinusitis and Nasal Polyps (EPOS) 2020 and recent literature reports from Medline and Scopus database are analysed.
Review methods:
Information was obtained through a review and analysis of the PubMed Medline and Scopus databases.
Brief description of the state of knowledge:
Diagnostic difficulties with CRS can be caused by many factors. The EPOS guidelines recommend flexible or rigid nasal endoscopy as a preliminary objective method to assist in the recognition of CRS. Computed tomography (CT) is not recommended for routine management; therefore, CT is the gold standard for imaging when establishing a PCRS diagnosis or preparing for sinus surgery. The use of conventional X-ray imaging for chronic rhinosinusitis is limited and not recommended.
Conclusions:
Understanding the symptoms of chronic rhinosinusitis is of utmost importance in daily practice. Early initial assessment of symptoms in children with a high probability of CRS allows for early diagnosis and reduces the need for endoscopic and imaging examination.
Standyło A, Obuchowska A, Horoch T, Mielnik-Niedzielska G. Current issues in the diagnostics of paediatric chronic rhinosinusitis. J Pre-Clin
Clin Res. 2021; 15(3): 134–136. doi: 10.26444/jpccr/140070
REFERENCES (17)
1.
Fokkens WJ, Lund VJ, Hopkins C, et al. Executive Summary of EPOS 2020 Including Integrated Care Pathways. Rhinology. 2020;58(2):82–111. https://doi.org/10.4193/Rhin20....
2.
Park IH, Lee JS, Park JH, et al. Comparison of the human microbiome in adults and children with chronic rhinosinusitis. PLoS ONE. 2020;15(12). https://doi.org/10.1371/journa....
3.
Leo G, Incorvaia C, Cazzavillan A, et al. May chronic rhinosinusitis in children be diagnosed by clinical symptoms? Int J Pediatr Otorhinolaryngol. 2015;79(6):825–828. https://doi.org/10.1016/j.ijpo....
4.
Snidvongs K, Sangubol M, Poachanukoon O. Pediatric Versus Adult Chronic Rhinosinusitis. Curr Allergy Asthma Rep. 2020; 20(29). https://doi.org/10.1007/s11882... 020– 00924– 6.
5.
Anamika A, Chakravarti A, Kumar R. Atopy and Quality of Life in Pediatric Chronic Rhinosinusitis. Am J Rhinol Allergy. 2019;33(5):586–590. https://doi.org/10.1177/194589....
6.
Chandy Z, Ference E, Lee JT. Clinical Guidelines on Chronic Rhinosinusitis in Children. Curr Allergy Asthma Rep. 2019;19(2):14. https://doi.org/10.1007/s11882... 019– 0845–7.
7.
Stapleton AL, Shaffer AD, Morris A, et al. The microbiome of pediatric patients with chronic rhinosinusitis. Int Forum Allergy Rhinol. 2021;11(1):31–39. https://doi.org/10.1002/alr.22....
8.
Drago L, Pignataro L, Torretta S. Microbiological Aspects of Acute and Chronic Pediatric Rhinosinusitis. J Clin Med. 2019;8(2):149. https://doi.org/10.3390/jcm802....
9.
Badr DT, Gaffin JM, Phipatanakul W. Pediatric Rhinosinusitis. Curr Treat Options Allergy. 2016;3(3):268–281. https://doi.org/10.1007/s40521....
10.
Fokkens WJ, Lund VJ, Hopkins C, et al. European Position Paper on Rhinosinusitis and Nasal Polyps 2020. Rhinology. 2020;58(29):1–464. https://doi.org/10.4193/Rhin20....
11.
Beswick DM, Messner AH, Hwang PH. Pediatric Chronic Rhinosinusitis Management in Rhinologists and Pediatric Otolaryngologists. Ann Otol Rhinol Laryngol. 2017;126(9):634–639. https://doi.org/10.1177/000348....
12.
Brietzke SE, Shin JJ, Choi S, et al. Clinical consensus statement: pediatric chronic rhinosinusitis. Otolaryngol Head Neck Surg. 2014;151(4):542–553. https://doi.org/10.1177/019459....
13.
Stenner M, Rudack C. Diseases of the nose and paranasal sinuses in child. GMS Curr Top Otorhinolaryngol Head Neck Surg. 2014;13(10). https://doi.org/10.3205/cto000....
14.
Belcher R, Virgin F. The Role of the Adenoids in Pediatric Chronic Rhinosinusitis. Med Sci. 2019;7(2):35. https://doi.org/10.3390/medsci....
15.
Arcimowicz M, Niemczyk K. EPOS 2020: What’s new for physician practitioners? Pol Otorhino Rev. 2020 Jun;9(2):7–17.
16.
Heath J, Hartzell L, Putt C, et al. Chronic Rhinosinusitis in Children: Pathophysiology, Evaluation, and Medical Management. Curr Allergy Asthma Rep. 2018;18(7):37. https://doi.org/10.1007/s11882... 018– 0792–8.
17.
Ni JS, Kompelli AR, Nguyen SA, et al. The Sinus and Nasal Quality of Life Survey (SN-5) in the Management of Pediatric Chronic Rhinosinusitis: A systematic review and meta-analysis. Int J Pediatr Otorhinolaryngol. 2018;111:162–169. https://doi.org/10.1016/j.ijpo....
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| ISSN: | 1898-2395 |
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