PDF(Pubmed)
Abstract：
UNASSIGNED: Upper respiratory tract infections and sinusitis are more prevalent in children than in adults. Unilateral sinusitis is not uncommon disease. Our aim was to analyze the disease characteristics in children with unilateral sinusitis and compare them with those of adults.
UNASSIGNED: This study included 124 patients with unilateral chronic sinusitis divided according to age into two groups: pediatric group ≤18 years (66 cases) and adult group >18 years (58 cases). The groups were compared in terms of demographic data, side, clinical manifestations and radiological findings.
UNASSIGNED: In pediatric patients, the most common inflammatory pathology was antrochoanal polyps, followed by allergic fungal sinusitis. On the other hand, chronic sinusitis without nasal polyps is the most common in adults, followed by antrochoanal polyps. The mean duration of clinical manifestations before diagnosis in pediatric patients was significantly shorter than that in adults (P=0.001). The most common symptoms in both pediatric and adult patients were anterior nasal discharge and nasal obstruction. Proptosis was significantly higher in pediatric group than in adult group (P=0.015). On computed tomography (CT), the most commonly affected sinus in both pediatric and adult patients was the maxillary sinus followed by the anterior ethmoid sinus. Bone expansion, erosion and involvement of adjacent structures were significantly higher in pediatric patients (P=0.028, 0.027 respectively).
UNASSIGNED: Pediatric patients have a high incidence of antrochoanal polyps and allergic fungal sinusitis as unilateral inflammatory lesions. These lesions require surgical management. Inflammatory paranasal sinus lesions in pediatric patients have a shorter duration of clinical manifestations and a higher incidence of bone erosion and involvement of adjacent structures; therefore, early diagnosis and management prevent complications.
UNASSIGNED: This study included 124 patients with unilateral chronic sinusitis divided according to age into two groups: pediatric group ≤18 years (66 cases) and adult group >18 years (58 cases). The groups were compared in terms of demographic data, side, clinical manifestations and radiological findings.
UNASSIGNED: In pediatric patients, the most common inflammatory pathology was antrochoanal polyps, followed by allergic fungal sinusitis. On the other hand, chronic sinusitis without nasal polyps is the most common in adults, followed by antrochoanal polyps. The mean duration of clinical manifestations before diagnosis in pediatric patients was significantly shorter than that in adults (P=0.001). The most common symptoms in both pediatric and adult patients were anterior nasal discharge and nasal obstruction. Proptosis was significantly higher in pediatric group than in adult group (P=0.015). On computed tomography (CT), the most commonly affected sinus in both pediatric and adult patients was the maxillary sinus followed by the anterior ethmoid sinus. Bone expansion, erosion and involvement of adjacent structures were significantly higher in pediatric patients (P=0.028, 0.027 respectively).
UNASSIGNED: Pediatric patients have a high incidence of antrochoanal polyps and allergic fungal sinusitis as unilateral inflammatory lesions. These lesions require surgical management. Inflammatory paranasal sinus lesions in pediatric patients have a shorter duration of clinical manifestations and a higher incidence of bone erosion and involvement of adjacent structures; therefore, early diagnosis and management prevent complications.
摘要：
■儿童上呼吸道感染和鼻窦炎比成人更普遍。单侧鼻窦炎并不罕见。我们的目的是分析单侧鼻窦炎儿童的疾病特征，并将其与成人进行比较。
■这项研究包括124例单侧慢性鼻窦炎患者，根据年龄分为两组：小儿组≤18岁（66例）和成人组>18岁（58例）。这些群体在人口统计数据方面进行了比较，侧面,临床表现和放射学发现。
■在儿科患者中，最常见的炎症病理是前鼻孔息肉，其次是过敏性真菌性鼻窦炎.另一方面,无鼻息肉的慢性鼻窦炎在成人中最常见，其次是后鼻窦息肉。儿科患者诊断前临床表现的平均持续时间明显短于成人(P=0.001)。儿童和成人患者最常见的症状是前鼻分泌物和鼻塞。儿童组的上清液显著高于成年组(P=0.015)。计算机断层扫描(CT),在儿童和成人患者中,最常受累的鼻窦是上颌窦,其次是前筛窦.骨扩张,儿科患者中相邻结构的侵蚀和受累明显更高（分别为P=0.028，0.027）。
■小儿患者作为单侧炎性病变的前鼻息肉和变应性真菌性鼻窦炎的发生率很高。这些病变需要手术治疗。小儿鼻窦炎症性病变的临床表现持续时间较短，骨侵蚀和邻近结构受累的发生率较高；因此，早期诊断和管理可预防并发症。
■这项研究包括124例单侧慢性鼻窦炎患者，根据年龄分为两组：小儿组≤18岁（66例）和成人组>18岁（58例）。这些群体在人口统计数据方面进行了比较，侧面,临床表现和放射学发现。
■在儿科患者中，最常见的炎症病理是前鼻孔息肉，其次是过敏性真菌性鼻窦炎.另一方面,无鼻息肉的慢性鼻窦炎在成人中最常见，其次是后鼻窦息肉。儿科患者诊断前临床表现的平均持续时间明显短于成人(P=0.001)。儿童和成人患者最常见的症状是前鼻分泌物和鼻塞。儿童组的上清液显著高于成年组(P=0.015)。计算机断层扫描(CT),在儿童和成人患者中,最常受累的鼻窦是上颌窦,其次是前筛窦.骨扩张,儿科患者中相邻结构的侵蚀和受累明显更高（分别为P=0.028，0.027）。
■小儿患者作为单侧炎性病变的前鼻息肉和变应性真菌性鼻窦炎的发生率很高。这些病变需要手术治疗。小儿鼻窦炎症性病变的临床表现持续时间较短，骨侵蚀和邻近结构受累的发生率较高；因此，早期诊断和管理可预防并发症。
