The Impact of Adenoid Hypertrophy on Pediatric Chronic Maxillary Sinusitis

Background: Sinusitis also known as Rhino sinusitis is the inflammation of sinuses that involves one or more cavities that could be due to bacterial or viral infection or even due to allergies. The patients may experience pain and tenderness around eyes, cheeks, nose and forehead, facial swelling, headache may be severe with nasal congestion. The secretions could have an impact on the vestibular apparatus which possibly may cause balance impairment. This study is intended to analyze the effect of chronic maxillary sinusitis (CMS) on balance. Objective: The aim of the study is to analyze the impact of CMS on the limits of stability. Materials and Methods: Thirty participants within the age group 20-40 were selected. Group A consisted of 15 patients with chronic maxillary sinusitis (CMS). Group B were matched controls (n=15) with the same age group, as that of the sinusitis group. Both male and female subjects within the age group of 20-40 years were included. Subjects with any other illness like trigeminal neuralgia, tension type headache, cervicogenic headache and other types of sinusitis were excluded. Functional Reach Test (FRT) between two groups were analysed Results: The mean FRT in patient with CS is 32.5 ± 9.5 cm. While in matched controls is 36.8 ± 7.9 cm. There exists significance difference (p=0.002) between them. Conclusion: Patient with chronic maxillary sinusitis has less functional reaching capability and thereby decreased limits of stability when compared to the matched peers.

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A diagnostic method of the chronic maxillary sinusitis by the x-ray mucous membrane function test (X.M.F.T.)

Journal of the Korean Radiological Society ◽

10.3348/jkrs.1977.13.2.259 ◽

1977 ◽

Vol 13 (2) ◽

pp. 259

Author(s):

JK Kim ◽

CS Kim ◽

HC Choi ◽

CS Kwun ◽

CJ Suh

Keyword(s):

Mucous Membrane ◽

Diagnostic Method ◽

Maxillary Sinusitis ◽

Membrane Function ◽

X Ray ◽

Function Test ◽

Chronic Maxillary Sinusitis

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Faculty Opinions recommendation of A balloon dilatation technique for the treatment of intramaxillary lesions using a Foley catheter in chronic maxillary sinusitis.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.6070956.6096056 ◽

2010 ◽

Author(s):

Maciej Misiolek

Keyword(s):

Balloon Dilatation ◽

Maxillary Sinusitis ◽

Foley Catheter ◽

Chronic Maxillary Sinusitis

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Eustachian Tube Dysfunction in Children With Adenoid Hypertrophy: The Role of Adenoidectomy for Improving Ear Ventilation

Ear Nose & Throat Journal ◽

10.1177/0145561321989455 ◽

2021 ◽

pp. 014556132198945

Author(s):

Alessandra Manno ◽

Giannicola Iannella ◽

Vincenzo Savastano ◽

Tommaso Vittori ◽

Serena Bertin ◽

...

Keyword(s):

Eustachian Tube ◽

Otitis Media With Effusion ◽

Preoperative Evaluation ◽

Mean Value ◽

Eustachian Tube Dysfunction ◽

Adenoid Hypertrophy ◽

Before And After ◽

Middle Ear Ventilation ◽

Tube Dysfunction ◽

The Impact

Introduction: To our knowledge, few papers have addressed preoperative evaluation of the impact of adenoid hypertrophy (AH) on the pathogenesis of eustachian tube dysfunction (ETD) in children with otitis media with effusion (OME). Aim: The aim of this study was 2-fold: first, to evaluate ETD using tubomanometry and Eustachian Tube Score 7 (ETS-7), in a group of children having AH; second, to assess the clinical impact of adenoidectomy on the ETD of these patients. Methods: Fifty patients, aged 4 to 15 years, underwent adenoidectomy based on various parameters: size of the adenoids causing canal obstruction (grades 1-4), the presence of OME, and recurrent episodes of rhinosinusitis. The function of the eustachian tube was evaluated using ETS-7 before and after surgical treatment. The patients were followed up for 6 months. Results: Forty children presented ETD. Of these, 36 had a grade 4 AH. The preoperative mean value for ETS-7 was 6.62. The mean postoperative ETS-7 score showed a value of 9.60 with a statistical difference compared to the preoperative value ( P = .0015). Conclusions: Adenoid hypertrophy has a high impact on the frequency of ETD. In the patients observed in the present study, the ETS-7 score appeared to be a valid tool for assessing ETD both preoperatively and postoperatively. Adenoidectomy seemed to be effective in improving ETD as well as middle ear ventilation.

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Microbiology, Histopathology, and Radiographic Findings in Silent Sinus Syndrome

American Journal of Rhinology and Allergy ◽

10.1177/1945892421989161 ◽

2021 ◽

pp. 194589242198916

Author(s):

Henry D. Zheng ◽

Jeffrey C. Mecham ◽

Yassmeen Abdel-Aty ◽

Devyani Lal ◽

Michael J. Marino

Keyword(s):

Maxillary Sinusitis ◽

Dental Disease ◽

Radiographic Findings ◽

Silent Sinus Syndrome ◽

Microbiological Characteristics ◽

Phone Survey ◽

Computed Tomography Scans ◽

History Of ◽

Mechanical Factors ◽

Chronic Maxillary Sinusitis

Background The histopathology and microbiology associated with silent sinus syndrome (SSS) have not been well described. Objective This study details the histopathological and microbiological characteristics in addition to radiographic findings of SSS in comparison to those of chronic maxillary sinusitis (CRS). Methods 42 patients diagnosed with SSS at Mayo Clinic Hospital in Arizona were identified. Paranasal computed tomography scans of the 42 SSS patients as well as 42 matched CRS patients were analyzed in order to assess differences in the prevalence of septal spurs/deviation. 20 of the SSS patients and 19 of the matched CRS patients also had histopathology and microbiology reports, which were compiled and summarized. Additionally, 19 SSS and 19 matched CRS patients were contacted via phone survey for a more complete patient history regarding maxillary dental disease/surgery. Results SSS patients have a significantly higher prevalence of septal spurs/deviation than CRS patients. The microbiomes of SSS patients more closely resemble those of healthy controls than those of CRS patients. Analysis of the histopathology of SSS reveals chronic, non-specific inflammation similar to that seen in non-eosinophilic CRS without polyps. SSS patients were significantly more likely to have a history of maxillary dental disease requiring surgery. Conclusion These data support the hypothesis that the pathogenesis of SSS is more likely due to anatomical/mechanical factors than inflammatory/microbiological factors.

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