scholarly journals Sinusitis in Children

2020 ◽  
Vol 5 (4) ◽  
Keyword(s):  
Facial Pain ◽  
Chronic Sinusitis ◽  
Nasal Congestion ◽  
Nasal Secretion ◽  
Common Disease ◽  
Significant Morbidity ◽  
Periorbital Edema ◽  
Infectious Origin ◽  
Facial Area ◽  
Bad Breath

Sinusitis is a common disease in childhood and puberty with significant morbidity and the potential for serious complications. There are two types of acute sinusitis: viral and bacterial. Viral sinusitis develops during a cold. Some children with certain predisposing diseases may develop forms of chronic sinusitis, which is usually not of infectious origin. Children and adolescents may have nonspecific symptoms: fever, nasal congestion, nasal secretion. Less common difficulties include bad breath, reduction sense of smell, and periorbital edema. Headaches and facial pain are rare in children. The most common symptoms are headache, tenderness in the facial area and a stuffy nose.

Cystic Fibrosis: The Sense of Smell

2019 ◽  
Vol 34 (1) ◽  
pp. 35-42 ◽  
Author(s):  
Antonella M. Di Lullo ◽  
Paola Iacotucci ◽  
Marika Comegna ◽  
Felice Amato ◽  
Pasquale Dolce ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cystic Fibrosis ◽  
Facial Pain ◽  
Nasal Polyps ◽  
Nasal Congestion ◽  
Nasal Discharge ◽  
Upper Airways ◽  
Multisystem Disease ◽  
Mean Values

Background Cystic fibrosis (CF) is a multisystem disease that involves the upper airways with chronic rhinosinusitis (CRS) causing nasal congestion, rhinorrhea, mouth breathing, facial pain, and olfactory dysfunction. Twelve percent to 71% of CF patients report smelling alterations with an impact on nutrition and quality of life. Objectives The goal was to study olfaction performance in CF patients with CRS that worsens quality of life. Methods A total of 121 subjects were enrolled in this study. Seventy-one had CF and underwent ear, nose, and throat evaluation with nasal endoscopy, sinonasal outcome test 22 (SNOT-22), visual analog scale (VAS), and “Sniffin’ Sticks.” Fifty subjects were age-matched with healthy controls. Results All 71 CF patients were affected by CRS; 59 of 71 (83.1%) had CRS without nasal polyps and 12 of 71 (16.9%) had CRS with early nasal polyps. None of the 50 controls had CRS. Total SNOTT-22 mean values in the 71 CF patients were 38.10 ± 21.08 points. If considering only the 59 CF patients without nasal polyps, the SNOTT-22 mean value was 36.76 ± 21.52 points. Moreover, based on the VAS scores, the degree of nasal symptoms was classified as mild for facial pain, smell alteration, nasal discharge, and sneezing and resulted in moderate symptoms for nasal blockage and headache. Among the CF patients, 55 of 71 (76.5%) declared to be normosmic, while the smelling ability assessed by “Sniffin’ Sticks” showed that only 4 of 71 (5.63%) were normosmic, 58 (81.69%) were hyposmic, and 9 (12.68%) were anosmic. In the controls, 41(82%) were normosmic, 9 (18%) were hyposmic, and none were reported to be anosmic ( P < .001). Conclusions We confirm that most CF patients have a relevant olfactory impairment, although only a low percentage declares such alteration. A careful evaluation with simple and rapid tests helps to select the patients who may benefit from specific therapies.

scholarly journals GAMBARAN DERAJAT KEPARAHAN GEJALA PASIEN RINOSINUSITIS KRONIK DI RSUD DR. SOETOMO SURABAYA

2020 ◽  
Vol 8 (2) ◽  
pp. 235
Author(s):  
Anggita Putri Samara ◽  
Budi Sutikno ◽  
Reny I’tishom
Keyword(s):  
Risk Factor ◽  
Observational Study ◽  
Medical Record ◽  
Nasal Obstruction ◽  
Facial Pain ◽  
Nasal Congestion ◽  
The Other ◽  
Nasal Discharge ◽  
Analog Scale ◽  
Nasal Inflammation

Chronic rhinosinusitis (CRS) is a sinus paranasal and nasal inflammation marked with two or more symptoms, nasal congestion or nasal discharge and the other symptom like facial pain and reduced smell may present. This symptom occur >12 weeks. One of the parameter for symptom’s severity assessmentis using Visual Analog Scale (VAS) that can be classified as mild (0-3), moderate (4-7), dan severe (8-10). This study was a observational study by assessing patient’s medical record at SMF THT-KL RSUD Dr. Soetomo and analyzed descriptively. 43 patients were enrolled to study (28 male and 15 female), most of them were between age 36-45 years old (25,58%). Most of the patient’s symptom’s severity in general, nasal obstruction, nasal discharge, facial pain, and reduced smell were moderate (65,11%), moderate (58,13%), mild (41,86%), mild (58,13%), mild (62,79%) respectively. Most of the patients had risk factor (62,79%), and the most of the patient’s risk factor were allergy. Most of the CRS patients in this study were male, 36-45 years old, with the general symptom’s severity moderate, moderate nasal obstruction, mild nasal discharge, mild facial pain, mild reduced smell, and had allergy.

scholarly journals Pathophysiology and management of gustatory rhinitis

2021 ◽  
Vol 50 (2) ◽  
pp. 183
Author(s):  
Shally Adhina Putri ◽  
Nina Irawati
Keyword(s):  
Literature Review ◽  
Nerve Stimulation ◽  
Facial Pain ◽  
Neurogenic Inflammation ◽  
Nasal Congestion ◽  
Sensory Nerve ◽  
Topical Steroid ◽  
Initial Management ◽  
Single Drug ◽  
Stimulation Of

ABSTRACTBackground: Gustatory rhinitis is a syndrome that causes symptoms of annoying rhinorrhea, occurring immediately after consuming solid or liquid foods which are hot and /or spicy. Usually starts within a few minutes after the ingestion of the foods involved, and is not associated with itching, sneezing, nasal congestion or facial pain. Purpose: To discuss the pathophysiology and proper management of gustatory rhinitis. Literature Review: Recent studies suggest that gustatory rhinitis is likely associated with phenomenon of neurogenic inflammation. The ingestion of spicy foods  caused  the  stimulation of trigeminal sensory nerve endings located in the upper part of the aerodigestive track. Sensory   nerve stimulation seems to be correlated with an activation of post ganglionic cholinergic muscarinic parasympathetic fibers and sensitive to atropine. Conclusion: The initial management of gustatory rhinitis is avoiding the trigger foods. Using combination of topical steroid and anticholinergic intranasal had been proven more effective to treat the rhinorrhea caused by gustatory rhinitis than administration of single drug. ABSTRAKLatar belakang: Rinitis gustatori adalah sindroma yang menimbulkan gejala rinore yang mengganggu, sesaat setelah mengonsumsi makanan padat atau cair, yang bersifat pedas dan/atau berempah. Biasanya dimulai dalam beberapa menit setelah menelan makanan tersebut, dan tidak disertai dengan gatal, bersin, hidung tersumbat atau nyeri wajah. Tujuan: Untuk membahas patofisiologi dan tatalaksana yang tepat pada rinitis gustatori. Tinjauan Pustaka: Sejumlah studi terbaru mendapatkan rinitis gustatori berkaitan dengan fenomena inflamasi neurogenik. Proses menelan makanan pedas dapat menyebabkan stimulasi ujung saraf sensorik trigeminal yang terletak di jalur aerodigestif bagian atas. Stimulasi saraf sensorik tersebut berkaitan dengan pengaktifan serabut saraf parasimpatik muskarinik kolinergik post ganglion yang sensitif terhadap atropin. Kesimpulan: Tatalaksana awal yang dapat dilakukan untuk mengatasi rinitis gustatori adalah menghindari makanan pemicu. Kombinasi penggunaan antikolinergik intranasal dan steroid topikal, secara profilaksis atau sebagai terapi telah terbukti lebih efektif untuk mengatasi rinore akibat rinitis gustatori dibandingkan pemberian masing- masing obat tersendiri.

scholarly journals ACUTE NONCARDIOGENIC PULMONARY EDEMA FOLLOWING NEOSTIGMINE ADMINISTRATION IN THE ENDOTRACHEAL INTUBATION STATE AFTER TONSILLECTOMY

2021 ◽  
Author(s):  
WOO JIN CHO ◽  
SO HUI YUN ◽  
SEUNG EUN SONG ◽  
CHANGROCK KNA ◽  
SURAN YU
Keyword(s):  
Pulmonary Edema ◽  
Airway Pressure ◽  
Blood Smear ◽  
Chronic Sinusitis ◽  
Clinical Symptoms ◽  
Nasal Congestion ◽  
Perioperative Period ◽  
Peripheral Blood Smear ◽  
Lymphoid Hyperplasia ◽  
Rule Out

Acute pulmonary edema during the perioperative period can have various causes. A 20-year-old woman was admitted for tonsillectomy and adenoidectomy. She had nasal congestion for 2 months, chronic sinusitis with polyps, and diffuse lymphoid hyperplasia. A biopsy and peripheral blood smear were performed to rule out a lymphoma before surgery. We injected neostigmine 1.5 mg and glycopyrrolate 0.4 mg at the end of the surgery. Two minutes later, the secretion and peak airway pressure increased as well as the CO2 levels. The patient remained sedated and suctioning continued for approximately 20 min before extubation. The secretions reduced and there was an improvement in clinical symptoms as the pinkish foamy pattern became whitish. Presumed treatment of neostigmine hypersensitivity or surgery can be used to resolve perioperative chronic partial airway obstruction.

Flow Alteration Through Nasal Passages Due to Turbinectomy

2007 ◽  
Author(s):  
Amanda Learned ◽  
Brian Savilonis ◽  
Sarah Miczek ◽  
David Wexler ◽  
Julia Kimbell
Keyword(s):  
Internal Structure ◽  
Significant Role ◽  
Surgical Procedure ◽  
Chronic Sinusitis ◽  
Fluid Dynamic ◽  
Nasal Congestion ◽  
Dynamic Changes ◽  
Flow Alteration ◽  
Deviated Septum ◽  
Opening Up

Internal structure plays a significant role in controlling airflow behavior through a nasal passageway. In cases of hypertrophy, swelling of membranes due to chronic sinusitis or allergy, or deviated septum, the anatomical nasal structures known as turbinates are considered to over-restrict airflow. Turbinectomy is a commonly performed surgical procedure that removes or reduces turbinate bulk, opening up the passages. In practice, this surgery enables patients to breathe more comfortably without relying on medications developed to relieve nasal congestion. However, there has been little investigation into fluid dynamic changes caused by this procedure.

Symptom Relief after Endoscopic Sinus Surgery: An Outcomes-Based Study

1993 ◽  
Vol 72 (6) ◽  
pp. 413-420 ◽  
Author(s):  
Sanford R. Hoffman ◽  
Martin C. Mahoney ◽  
James F. Chmiel ◽  
Gerald D. Stinziano ◽  
Kevin N. Hoffman
Keyword(s):  
Patient Outcomes ◽  
Endoscopic Sinus Surgery ◽  
Chronic Sinusitis ◽  
Nasal Congestion ◽  
Symptom Relief ◽  
Nasal Symptom ◽  
Sinus Surgery ◽  
Post Surgery ◽  
Symptom Prevalence ◽  
One Year

Previous studies of patient outcomes after sinus surgery have generally described only a summary measure of overall change in symptoms or health status. This paper describes an outcomes-based longitudinal study of sinus symptom prevalence among thirty-one patients treated with endoscopic surgery for chronic sinusitis. Patients completed structured data collection forms to quantify the prevalence of commonly experienced sinus-related symptoms during an eight-week period both before surgery and six months after undergoing sinus surgery. Significant decreases in nasal symptom prevalence (post-surgery versus pre-surgery) were noted for headaches, nasal drainage, nasal congestion, sinus infection, and breathing difficulties. In addition, the proportion of subjects who rated their current health as “better” compared to one year previously increased from 27% pre-surgery to 58% six months after sinus surgery. These findings aid in quantifying the magnitude of improvement experienced by sinus surgery patients and provide further evidence that endoscopic sinus surgery represents an effective treatment for chronic sinusitis.

Pediatric Invasive Fungal Rhinosinusitis in Immunocompromised Children With Cancer

2005 ◽  
Vol 133 (3) ◽  
pp. 411-416 ◽  
Author(s):  
Albert H. Park ◽  
Harlan R. Muntz ◽  
Marshall E. Smith ◽  
Zeinab Afify ◽  
Theodore Pysher ◽  
...  
Keyword(s):  
Facial Pain ◽  
Nasal Congestion ◽  
Lymphoblastic Leukemia ◽  
Retrospective Chart Review ◽  
Myelogenous Leukemia ◽  
Immunocompromised Patients ◽  
Children With Cancer ◽  
Endoscopic Findings ◽  
Fungal Rhinosinusitis ◽  
Invasive Fungal Rhinosinusitis

OBJECTIVES: 1) To determine the factors that predispose towards invasive fungal rhinosinusitis (FS) in immunocompromised children with cancer, and 2) to propose practice guidelines for management of pediatric FS in immunocompromised patients. METHODS: Retrospective chart review of 9 patients who developed invasive FS compared to 8 patients who did not develop invasive FS during the study period. Presenting signs and symptoms, nasal endoscopic findings, radiographs, laboratory studies, histologic and microscopic samples, and outcomes were compared. RESULTS: Seventeen consecutive pediatric immunocompromised patients with hematologic and lymphoid neoplasms underwent nasal endoscopy and biopsy for possible FS. Nine patients were diagnosed with 10 episodes of FS; 1 patient developed FS with different organisms on 2 separate occasions separated by 6 months; 8 patients were not diagnosed with FS. Eight patients had acute myelogenous leukemia (AML); 6 patients had acute lymphoblastic leukemia (ALL); 1 patient had Burkitt's lymphoma, 1 patient had undifferentiated leukemia; and 1 patient had biphenotypic acute leukemia. All patients with FS had an absolute neutrophil count (ANC) 600 or less (range 0-600). All patients with FS had either persistent fevers or sinus symptoms (facial pain, nasal congestion, rhinorrhea). Sinus CT scans were abnormal in all patients with FS and without FS. Two patients with FS had maxillary sinus retention cysts. Operative endoscopic findings were helpful diagnostically when necrosis or ulceration was found. All patients in the non-FS group normalized their ANCs; 2 of the 9 patients in the FS group did not normalize their ANC. These 2 patients died from disseminated FS or from complications due to their immunosuppression. CONCLUSION/SIGNIFICANCE: All patients with FS had either persistent fevers or symptoms localized to the sinuses (facial pain, nasal congestion, or rhinorrhea). Endoscopic examination was helpful when necrosis was detected. We recommend directed biopsies of suspicious lesions, the middle and inferior turbinate, in immunocompromised, neutropenic pediatric patients with cancer who present with either persistent fevers or localizing symptoms to the sinuses. We favor the use of “rush” biopsies over frozen sections because of the better-quality sections and ability to perform appropriate stains.

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