Clinical spectrum of acute rhinosinusitis among atopic and nonatopic children in Taiwan

Lin, Song–Shu; Wang, Yun-Hu; Lee, Ming‐Yung; Ku, Min‐Sho; Sun, Hai-Lun; Lu, Ko-Hsiu; Ko, Jiunn‐Liang

doi:10.1016/j.ijporl.2011.10.002

Cited by 33 publications

(34 citation statements)

References 27 publications

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“…The nature of the underlying population (atopic vs nonatopic) assists in determining the next step of the diagnostic evaluation. Our population is largely atopic (Table 1) and our data regarding rhinosinusitis as a cause of cough are consistent with other specific allergic populations 13,14…”

Section: Discussionsupporting

confidence: 90%

Sinusitis and chronic cough in children

Wilson¹,

Hogan²,

Harper³

et al. 2012

JAA

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Background:Chronic cough in children is a common problem, and sinusitis is a common etiology. The diagnosis of sinusitis is often clinical, but confirmation is thought to require a CT scan due to the difficulty of interpreting a Water’s view sinus X-ray.Objectives:The purposes of the study were (1) to examine the frequency of an abnormal sinus X-ray in children with a chronic cough of more than 4 weeks duration; (2) to compare the interpretation of the sinus film between allergy/pulmonary clinicians and radiologists; and (3) to correlate symptoms with X-ray results.Methods:A chart review of 2- to 18-year-old patients with coughing exceeding 4 weeks was performed. Data was collected for patients who had received a Water’s view sinus film as part of their evaluation. Exam, X-ray results, and clinical outcomes were categorized and statistical analyses performed.Results:A total of 86 patients were included. Clinicians found that 65% of the children had positive Water’s view films, compared with the radiologist’s reading of 62% (non significant). Significant associations between post-tussive emesis (P = 0.01) and purulence (P = 0.03) were noted with a positive film. Positive sinus X-ray was highly associated with all findings except wheeze when present together (P < 0.001).Conclusion:Sinus abnormalities on X-ray are associated with prolonged cough in 65% of children. The Water’s view sinus film is a clinically useful screening tool for clinicians in the workup of chronic cough. Certain physical findings and clinical complaints, when present concurrently, correlate with the X-ray results.

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Section: Discussionsupporting

confidence: 90%

Sinusitis and chronic cough in children

Wilson¹,

Hogan²,

Harper³

et al. 2012

JAA

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“…In these children, the most troublesome symptoms were PND, nasal obstruction, and cough. 1394 In a mail survey of American general pediatricians, symptoms thought to be very important in the diagnosis of ARS included prolonged symptom duration, purulent rhinorrhea, and nasal congestion. 1395 The physical exam in children includes anterior rhinoscopy to examine the middle meatus, inferior turbinates, mucosal character, and presence of purulent drainage.…”

Section: Xia3 Pediatric Ars: Diagnosismentioning

confidence: 99%

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Orlandi

Kingdom

Hwang

et al. 2016

Int Forum Allergy Rhinol

557

888

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Background:The body of knowledge regarding rhinosinusitis (RS) continues to expand, with rapid growth in number of publications, yet substantial variability in the quality of those presentations. In an effort to both consolidate and critically appraise this information, rhinologic experts from around the world have produced the International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR:RS). Methods:Evidence-based reviews with recommendations (EBRRs) were developed for scores of topics, using previously reported methodology. Where existing evidence was insufficient for an EBRR, an evidence-based review (EBR) was produced. The sections were then synthesized and the entire manuscript was then reviewed by all authors for consensus. Results:The resulting ICAR:RS document addresses multiple topics in RS, including acute RS (ARS), chronic RS (CRS) with and without nasal polyps (CRSwNP and CRSsNP), recurrent acute RS (RARS), acute exacerbation of CRS (AE-CRS), and pediatric RS. Conclusion:As a critical review of the RS literature, ICAR:RS provides a thorough review of pathophysiology and evidence-based recommendations for medical and surgical treatment. It also demonstrates the significant gaps in our understanding of the pathophysiology and optimal management of RS. Too o en the foundation upon which these recommendations are based is comprised of lowerlevel evidence. It is our hope that this summary of the evidence in RS will point out where additional research efforts may be directed. C 2016 ARS-AAOA, LLC. Key Words:rhinosinusitis; chronic rhinosinusitis; acute rhinosinusitis; recurrent acute rhinosinusitis; evidence-based medicine; systematic review; endoscopic sinus surgery List of Abbreviations Used

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“…Manual searching of reference lists for the 60 full‐text articles identified one additional study that was eligible for inclusion. This yielded 12 articles that were included for qualitative synthesis 8–19…”

Section: Resultsmentioning

confidence: 99%