Current issues in the diagnostics of paediatric chronic rhinosinusitis
Introduction and objective Paediatric chronic rhinosinusitis (PCRS) is a common disease in children. It is defined as an ongoing inflammation of the nasal cavity and sinuses lasting for over 12 weeks. Due to prevalence in the population, PCRS is associated with a high healthcare and financial burden...
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| Format: | Article |
| Language: | English |
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Institute of Rural Health
2021-07-01
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| Series: | Journal of Pre-Clinical and Clinical Research |
| Subjects: | |
| Online Access: | https://www.jpccr.eu/Current-issues-in-the-diagnostics-of-paediatric-chronic-rhinosinusitis,140070,0,2.html |
| _version_ | 1797870264494587904 |
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| author | Arkadiusz Standyło Aleksandra Obuchowska Tomasz Horoch Grażyna Mielnik-Niedzielska |
| author_facet | Arkadiusz Standyło Aleksandra Obuchowska Tomasz Horoch Grażyna Mielnik-Niedzielska |
| author_sort | Arkadiusz Standyło |
| collection | DOAJ |
| description | Introduction and objective
Paediatric chronic rhinosinusitis (PCRS) is a common disease in children. It is defined as an ongoing inflammation of the nasal cavity and sinuses lasting for over 12 weeks. Due to prevalence in the population, PCRS is associated with a high healthcare and financial burden. During the examination, attention should be paid to symptoms that may suggest chronic rhinosinusitis (CRS), because it may be underdiagnosed. Due to the chronicity of the inflammatory process and the similarity of symptoms to allergic rhinitis and adenoid hypertrophy, diagnosis and treatment are difficult. In this review, guidelines from The European Position Paper on Rhinosinusitis and Nasal Polyps (EPOS) 2020 and recent literature reports from Medline and Scopus database are analysed.
Review methods
Information was obtained through a review and analysis of the PubMed Medline and Scopus databases.
Brief description of the state of knowledge
Diagnostic difficulties with CRS can be caused by many factors. The EPOS guidelines recommend flexible or rigid nasal endoscopy as a preliminary objective method to assist in the recognition of CRS. Computed tomography (CT) is not recommended for routine management; therefore, CT is the gold standard for imaging when establishing a PCRS diagnosis or preparing for sinus surgery. The use of conventional X-ray imaging for chronic rhinosinusitis is limited and not recommended.
Conclusions
Understanding the symptoms of chronic rhinosinusitis is of utmost importance in daily practice. Early initial assessment of symptoms in children with a high probability of CRS allows for early diagnosis and reduces the need for endoscopic and imaging examination. |
| first_indexed | 2024-04-10T00:25:49Z |
| format | Article |
| id | doaj.art-b714cbd8d4fc4276a3d1b8458759d064 |
| institution | Directory Open Access Journal |
| issn | 1898-2395 1898-7516 |
| language | English |
| last_indexed | 2024-04-10T00:25:49Z |
| publishDate | 2021-07-01 |
| publisher | Institute of Rural Health |
| record_format | Article |
| series | Journal of Pre-Clinical and Clinical Research |
| spelling | doaj.art-b714cbd8d4fc4276a3d1b8458759d0642023-03-15T10:41:28ZengInstitute of Rural HealthJournal of Pre-Clinical and Clinical Research1898-23951898-75162021-07-0115313413610.26444/jpccr/140070140070Current issues in the diagnostics of paediatric chronic rhinosinusitisArkadiusz Standyło0https://orcid.org/0000-0002-5154-4759Aleksandra Obuchowska1https://orcid.org/0000-0003-0464-2695Tomasz Horoch2https://orcid.org/0000-0001-9812-8798Grażyna Mielnik-Niedzielska3https://orcid.org/0000-0002-0818-9771Scientific Association at the Chair and Department of Pediatric Otolaryngology, Medical University, Lublin, PolandScientific Association at the Chair and Department of Pediatric Otolaryngology, Medical University, Lublin, PolandChair and Department of Pediatric Otolaryngology, Medical University, Lublin, PolandChair and Department of Pediatric Otolaryngology, Medical University, Lublin, PolandIntroduction and objective Paediatric chronic rhinosinusitis (PCRS) is a common disease in children. It is defined as an ongoing inflammation of the nasal cavity and sinuses lasting for over 12 weeks. Due to prevalence in the population, PCRS is associated with a high healthcare and financial burden. During the examination, attention should be paid to symptoms that may suggest chronic rhinosinusitis (CRS), because it may be underdiagnosed. Due to the chronicity of the inflammatory process and the similarity of symptoms to allergic rhinitis and adenoid hypertrophy, diagnosis and treatment are difficult. In this review, guidelines from The European Position Paper on Rhinosinusitis and Nasal Polyps (EPOS) 2020 and recent literature reports from Medline and Scopus database are analysed. Review methods Information was obtained through a review and analysis of the PubMed Medline and Scopus databases. Brief description of the state of knowledge Diagnostic difficulties with CRS can be caused by many factors. The EPOS guidelines recommend flexible or rigid nasal endoscopy as a preliminary objective method to assist in the recognition of CRS. Computed tomography (CT) is not recommended for routine management; therefore, CT is the gold standard for imaging when establishing a PCRS diagnosis or preparing for sinus surgery. The use of conventional X-ray imaging for chronic rhinosinusitis is limited and not recommended. Conclusions Understanding the symptoms of chronic rhinosinusitis is of utmost importance in daily practice. Early initial assessment of symptoms in children with a high probability of CRS allows for early diagnosis and reduces the need for endoscopic and imaging examination.https://www.jpccr.eu/Current-issues-in-the-diagnostics-of-paediatric-chronic-rhinosinusitis,140070,0,2.htmladolescentchildotolaryngologysinusitisrhinitisdiagnostic techniques and procedures |
| spellingShingle | Arkadiusz Standyło Aleksandra Obuchowska Tomasz Horoch Grażyna Mielnik-Niedzielska Current issues in the diagnostics of paediatric chronic rhinosinusitis Journal of Pre-Clinical and Clinical Research adolescent child otolaryngology sinusitis rhinitis diagnostic techniques and procedures |
| title | Current issues in the diagnostics of paediatric chronic rhinosinusitis |
| title_full | Current issues in the diagnostics of paediatric chronic rhinosinusitis |
| title_fullStr | Current issues in the diagnostics of paediatric chronic rhinosinusitis |
| title_full_unstemmed | Current issues in the diagnostics of paediatric chronic rhinosinusitis |
| title_short | Current issues in the diagnostics of paediatric chronic rhinosinusitis |
| title_sort | current issues in the diagnostics of paediatric chronic rhinosinusitis |
| topic | adolescent child otolaryngology sinusitis rhinitis diagnostic techniques and procedures |
| url | https://www.jpccr.eu/Current-issues-in-the-diagnostics-of-paediatric-chronic-rhinosinusitis,140070,0,2.html |
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