Section: 
Science articles
Science articlesRisc factors and specific features of the clinical performance of acute rhinosinusitis combined with the pharyngeal tonsil pathology in children
I. I. Klimova (1), O. V. Aristova-Borovikova (1)
(1) Novokuznetsk State Institute of Postgraduate Medicine of the Ministry of Healthcare, Novokuznetsk 654005, Russia
UDK: 616.216-002:616.323
DOI: https://doi.org/10.18692/1810-4800-2016-6-61-65
ABSTRACT
Aim: To evaluate the risk factors and clinical picture in children with acute rhinosinusitis combined with pharyngeal tonsil pathology. Objectives of the study: To analyse the risk factors, peculiarities of clinical course and data of endoscopic examinations of the nasal cavity and nasopharynx in children with acute rhinosinusitis combined with the pharyngeal tonsil pathology. Patients and methods. The authors performed questionnaire survey, examination and treatment of 298 patients aged from 3 through 10 years old with acute rhinosinusitis combined with the pharyngeal tonsil pathology, admitted to Otorhinolaryngology Department of Municipal Budgetary Prevention and Treatment Facility Area-Based Perinatal Center of Novokuznetsk in 2014 and 2015 (the main group). The comparison group consisted of 119 clinically healthy children of the similar age. The results of the study. The average age of children was 6.6±0.1 years old, the average duration of the disease before the admission to the hospital was 9.4±0.2 days. The authors identified the risk factors: pernicious habits of the parents, genetic predisposition for chronic sinusitis and/or chronic tonsillitis and the presence of allergies in one or both parents; artificial feeding; early attendance of pre-school establishments. During the admission, all children complained of complicated nasal breathing at day and/or night time, discharge from the nasal cavity of different nature. More than half of the parents noted sleep apnoe syndrome, poor sleep, headache and cough in children. Endoscopy of the nasopharynx presented degree 1 adenoid vegetations in 26.1±3.6% of patients, degree 2 – in 30.5±3.5%, degree 3 – in 26.9±3.6% and 4 – in 16.5±3.2% of patients. In terms of the process localization, bilateral haimoroetmoiditis and polysinusitis dominated in all age groups. Conclusion: 1. The authors established the most important risk factors of development of acute rhinosinusitis in combination with the pharyngeal tonsil pathology; 2. The symptoms of adenoiditis superimposed on the symptoms of acute rhinosinusitis.
Publication date:
01.12.2016
Keywords:
children; acute rhinosinusitis; pharyngeal tonsil pathology. For citation:
Klimova I. I., Aristova-Borovikova O. V. Risc factors and specific features of the clinical performance of acute rhinosinusitis combined with the pharyngeal tonsil pathology in children. Rossiiskaya otorinolaringologiya. 2016;6:61-65. https://doi.org/10.18692/1810-4800-2016-6-61-65