Nasal endoscopic evaluation of children and adolescents with cystic fibrosis.
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.
Franco
Letícia Paiva
LP
Hospital das Clínicas, Medical School of the Federal University of Minas Gerais.
Camargos
Paulo Augusto Moreira
PA
Becker
Helena Maria Gonçalves
HM
Guimarães
Roberto Eustáquio Santos
RE
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