title: Nasal endoscopic evaluation of children and adolescents with cystic fibrosis.
abstract: The main otorhinolaryngological manifestations of CF are chronic rhinosinusitis and nasal polyposis, with different clinical presentations.
  
  
  OBJECTIVE
  To characterize children and adolescents with cystic fibrosis through a questionnaire, an ENT clinical examination and nasal endoscopy.
  
  
  METHODS
  Cross-sectional clinical descriptive.
  
  
  METHODS
  Assessment of 100 children and adolescents with cystic fibrosis through a specific questionnaire, ENT physical examination, nasal endoscopy and endoscopic staging of nasal polyps.
  
  
  RESULTS
  The most frequent symptoms were: cough (45%), oral breathing (44%), sleep disorders (42%) and nasal obstruction (37%). Twenty-eight patients (28%) had purulent nasal discharge, and 41% had medial bulging of the nasal lateral wall. Nasal polyps were identified in only 14% of cases, none were obstructing.
  
  
  CONCLUSIONS
  The questionnaire, clinical examination and especially nasal endoscopy lead to a detailed assessment of the nasal characteristics of children and adolescents with cystic fibrosis. Some findings were discordant with the literature, particularly the low prevalence of nasal polyps, and appear to be related to specific characteristics of the population studied. The best characterization of this group of patients, from the ENT standpoint, contributes to an appropriate multidisciplinary approach.
authors.affiliation: Hospital das Clínicas, Medical School of the Federal University of Minas Gerais.
authors.forename: Letícia Paiva
authors.initials: LP
authors.lastname: Franco
authors.forename: Paulo Augusto Moreira
authors.initials: PA
authors.lastname: Camargos
authors.forename: Helena Maria Gonçalves
authors.initials: HM
authors.lastname: Becker
authors.forename: Roberto Eustáquio Santos
authors.initials: RE
authors.lastname: Guimarães
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D003550:Cystic Fibrosis / Q000150:complications*; D004724:Endoscopy; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009298:Nasal Polyps / Q000175:diagnosis / Q000209:etiology*; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires