No abstract
How frequently do you see the combination of sinusitis and asthma in your practice? Lewis: Approximately 20% of my sinusitis patients also have asthma. Dziedzic: My practice is primarily a pediatric otolaryngology practice where we see children of all ages, up to the age of 23 years. Since I started specializing in otolaryngology, I quickly realized from the beginning that the lower and upper respiratory tracts cannot be separated in clinical practice. "It has been speculated that sinusitis may worsen lower respiratory tract symptoms as children experiencing asthma exacerbations often have clinical signs and symptoms of sinusitis." 1 With that being said, not every child I see presents with lower respiratory symptoms in association with their episode of sinusitis. But it should always be a consideration, and a pulmonary examination should always be completed so as not to miss an associated asthma exacerbation, bronchitis, or pneumonia. This is especially the case in children with a known history of asthma. If a pulmonary exacerbation or complication is identified, the child's primary care provider and/or pulmonologist should be involved to facilitate a comprehensive plan of care for the child. It is not uncommon for a child with recurrent or chronic sinusitis that precipitates pulmonary exacerbations to pursue medical maintenance sinus therapy and/or surgical intervention.
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