A 13-year report on childhood sinusitis: clinical presentations, predisposing factors and possible means of prevention.
Two hundred and nineteen children with sinusitis treated as in-patients at Huddinge University Hospital during the period 1980-1992 have been reviewed. Epidemiological data, the clinical picture, treatment and complications are described. The prevalence of significant predisposing conditions (such as upper airway allergy, asthma, and immunoglobulin deficiency) has been estimated. Serious sinusitis complications are few, surgery is only rarely required, and previously-recognized important predisposing paediatric conditions are not significantly more common than in the general juvenile population. Improved medication and prevention may have reduced the incidence of serious sinus infections in risk groups today. Children with cystic fibrosis have been reviewed with regard to the necessity of both sinus and nasal polyp surgery. Aggressive medical therapy appears to have reduced their need for sinus surgery as well as polypectomy.
Henriksson
G
G
Department of Otorhinolaryngology, Karolinska Institute, Huddinge University Hospital, Sweden.
Westrin
K M
KM
Kumlien
J
J
Stierna
P
P
D000293:Adolescent; D016022:Case-Control Studies; D015984:Causality; D002648:Child; D002675:Child, Preschool; D015521:Ethmoid Sinusitis / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D008297:Male; D009298:Nasal Polyps / Q000453:epidemiology; D012189:Retrospective Studies; D012307:Risk Factors; D012852:Sinusitis / Q000175:diagnosis / Q000453:epidemiology* / Q000517:prevention & control; D013548:Sweden / Q000453:epidemiology