[The syndrome of dyskinetic cilia as the cause of chronic sinusitis].
The syndrome of dyskinetic cilia is the cause of chronic inflammatory processes of upper and lower airways. The research studies concerning cilia's structure were held during 50s. About 20 types of cilia's defects were characterized by now, classified as inborn defects.


OBJECTIVE
The presentation of the case is because of both the rarity of incidence and diagnostical's problem and treatment. In this case, we observed who re-occurrence of chronic inflammation accompanied by having infections of lower respiratory tract it is necessary to expand diagnosis to find out the reasons of such disease.


METHODS
A 7 years old girl was admitted to our Clinic. Since couple years she has been under assistance of Specialist Clinic. She was also hospitalized because of aggravation inflammatory state of lower airways. After computers tomography of sinuses she was qualified to surgical treatment. During operation a material to study of cilia immobility was taken. The electron microscope study confirm the diagnosis of the group of dyskinetic cilia.


RESULTS
The follow-up examination was held 14 months after operation. During this time the girl did not take any antibiotic (before antibiotherapy was held couple times during the year). Clinical status proved. Better results were also on computer tomography.


CONCLUSIONS
In this case, re-occurrence, inflammatory process both upper and lower respiratory tract are necessary to expand the diagnostics to find out the cause of illnesses. The methods of treatments the group of in-movement's cilia based on the symptomatic treatment, but the role of physiotherapy of respiratory system is stressed as the operation of removal of secretion's retention. There is an important role of regular laryngology care and surgical treatment allow partly to control the disease.
Jezewska
Elzbieta
E
Klinika Otolaryngologii Wydziału Stomatologii, Warszawie.
Kukwa
Andrzej
A
Pietniczka-Załeska
Mirosława
M
D002648:Child; D002908:Chronic Disease; D002925:Ciliary Motility Disorders / Q000150:complications* / Q000175:diagnosis*; D005260:Female; D006801:Humans; D012852:Sinusitis / Q000209:etiology* / Q000601:surgery*; D016896:Treatment Outcome