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Relieving Symptoms of Chronic Sinusitis in Children

Hussein M. Hassan

Journal of the Faculty of Medicine مجلة كلية الطب
ISSN: 00419419 Year: 2007 Volume: 49 Issue: 1 Pages: 13-16
Publisher: Baghdad University جامعة بغداد

Abstract

Background: To determine the efficacy of adenoidectomy in relieving symptoms of chronic sinusitisin children.Patients and methods :A prospective study carried out on 35 patients who underwent adenoidectomyor Adeno-tonsillectomy between May 2004 and October 2005.The patient ages ranged from 3 to 12years.Five patients were unavailable for follow-up and did not complete the study so they are excludedfrom. The pre-operative symptoms were Rhinorrohea, Nasal congestion, Headache, Postnasaldrainage, Cough, Halitosis and Irritability.Also recorded was Mouth breathing, Fever and Frequent antibiotic use. Telephone interviews with thepatient's caregivers were conducted to collect information following the surgery regarding the presenceof the same symptoms as well as an estimate of overall improvement. Follow-up ranged from 5 monthsto 1 year.Results :The most frequently reported symptoms before surgery were Rhinorrhoea, Nasal congestion,Mouth breathing, and Frequent antibiotic use. (26, 28, 24, 30 patients respectively). These numbersdecreased following surgery to (11, 12, 6, 24 patients respectively)Complete or near complete symptom resolution was reported in 18 (60%) patients. Some improvementwas reported in 6 (20%) patients. Minimal or no improvement was reported in another 6 (20%) patients.Conclusion In the majority of cases, symptoms of chronic sinusitis in children are relieved byadenoidectomy.

Keywords

Symptoms of chronic sinusitis --- Children --- Adenoidectomy