[Clinical analysis of chronic rhinosinusitis in children].
OBJECTIVE
To determine the ideal treatment for the pediatric patients with chronic rhinosinusitis.


METHODS
Eighty-eight patients (aged 5-14 years) were divided into group A, B, C. In group A, 30 cases (60 sides) who had chronic rhinosinusitis without nasal polyps were treated systemically with medicine. In group B, 31 cases (62 sides) were chronic rhinosinusitis without nasal polyps and accompanied by adenoid vegetation and/or chronic tonsillitis,and were systemically treated with a combined therapy of medicine and adenoidectomy and/or tonsillectomy. In group C, 27 cases (54 sides) were chronic rhinosinusitis with nasal polyps,and were treated systemically with medicine and endoscopic sinus surgery.


RESULTS
All patients were followed up for 12-18 months, with an average of 16 months. In group A, 48 sides were cured, 8 sides improved and 4 sides showed no effect. In group B, 46 sides were cured, 10 sides improved and 6 sides showed no effect. In group C, 40 sides were cured, 8 sides improved and 6 sides showed no effect. There were no significant differences in the efficacy among the three groups (P > 0.05).


CONCLUSIONS
Systemic medical treatment should be the first choice for chronic rhinosinusitis in children. Children with adenoid vegetation and/or chronic tonsillitis are basically treated with systemic medicine combined with adenoidectomy and/or tonsillectomy. Administration of medicine before and after the endoscopic surgery is more efficient for chronic rhinosinusitis with nasal polyps in children.
Wang
Tao
T
Department of Otolaryngology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, China.
Yang
Qintai
Q
Li
Peng
P
Liu
Xian
X
Zhang
Gehua
G
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D003131:Combined Modality Therapy; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D012852:Sinusitis / Q000601:surgery / Q000628:therapy*