Symptomatology and etiology of chronic pediatric rhinosinusitis.
OBJECTIVE
This study aims to define symptoms and etiology and determine how to prevent chronic rhinosinusitis in children.


METHODS
Between February 2003 and February 2005, 50 pediatric patients (25 girls and 25 boys; mean age 8.22 years; range 4 to 14 years) with chronic rhinosinusitis were included in the study. The patients were questioned about anterior/posterior nasal dripping, night cough, headache, nausea, vomiting and nasal obstruction for symptomatology; about school condition, smoking behavior of parents and history of asthma for etiology. Hemogram, serum biochemistry, allergy test, nasal smear, chest and lateral neck radiography and sweat test were performed.


RESULTS
Symptomatologic examination revealed that 48% had anterior nasal dripping, 62% with postnasal dripping, 70% with headache and 90% with nasal obstruction. Evaluation of etiological factors revealed that 68% were going to school, 48% of the parents had the history of smoking, 42% with allergy test-positivity and 60% with adenoid vegetation.


CONCLUSIONS
Our study results indicated that environmental factors are important as etiological factors in rhinosinusitis. For prevention, we recommend restriction of close relationship at school, not to smoke at home and vaccination in each year with influenza and S. pneumonia vaccine.
Department of Otolaryngology, Ümraniye Training and Research Hospital, İstanbul, Turkey.
Adem Emre
AE
Ilhan
Murat
M
Karaman
Arman
A
Tekin
D000293:Adolescent; D001249:Asthma / Q000150:complications; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D004781:Environmental Exposure; D005260:Female; D006801:Humans; D007252:Influenza Vaccines; D008297:Male; D010290:Parents; D022242:Pneumococcal Vaccines; D012220:Rhinitis / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control; D012852:Sinusitis / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control; D012907:Smoking / Q000009:adverse effects / Q000453:epidemiology
D007252:Influenza Vaccines; D022242:Pneumococcal Vaccines