Pathogenesis of Pediatric Rhinosinusitis

Gitman, Lyuba; Peña, María

doi:10.1007/978-3-030-22891-0_3

Cited by 1 publication

(1 citation statement)

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“…Before the age of 12, the complete formation of the frontal sinuses also occurs, so the risk of frontal sinusitis increases. After the age of 12, CPR can occur in any paranasal sinus or even in several (Gitman and Peña 2020). In children, the development of CPR is accompanied by the following features (Pavez et al 2019;Maurrasse et al 2020):…”

Section: Features Of Cpr In Childhoodmentioning

confidence: 99%

Modern approaches to the treatment of chronic polypous rhinosinusitis

Bairashevskaia¹,

Kytko²,

Vasil’ev³

et al. 2020

RRP

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Introduction: Today, chronic polypous rhinosinusitis (CPR) occupies a special place among otolaryngological diseases, the incidence rate of which increases every year. To date, the main causes of chronic polypous rhinosinusitis are Staphylococcus aureus and anatomical abnormalities. Diagnostics: Knowledge of a universal algorithm for the diagnosis of this disease, consisting of the collection of anamnesis, endoscopic examination of the nasal cavity, computed tomography of the paranasal sinuses, anterior active rhinomanometry and bacteriological determination of the microbial spectrum, allows diagnosing chronic polyposis rhinosinusitis in time, and, as a consequence, to prescribe a treatment. Treatment: This review describes conservative therapies, including antibiotics and glucocorticosteroids. Today, the main task of doctors is to find the most effective method of administration of glucocorticosteroids to achieve the maximum effect. One of these methods is the introduction of the drug with the help of nebulizer, as in this case, the drug will remain in the perirhinal cavity for a long time and have the maximum effect due to the directed action only in the area of the pathological process. Features of chronic polypous rhinosinusitis in childhood: It should be noted that children under 12 years of age due to the formation of the paranasal sinuses at different stages of ontogenesis will be characterized by different forms of chronic polyposis rhinosinusitis. That is why they should be known and taken into account when making a diagnosis and prescribing a treatment. Conclusion: Today, the frequency of chronic rhinosinusitis increases exponentially, which makes the question of the modern approach to its treatment the most relevant. It is possible that additional research in this area will solve the issue of searching for both the optimal path of therapy and treatment of CPR in children.

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Section: Features Of Cpr In Childhoodmentioning

confidence: 99%