TY - JOUR
T1 - Nasal endoscopy in asthmatic children
T2 - Assessment of rhinosinusitis and adenoiditis incidence, correlations with cytology and microbiology
AU - Tosca, M. A.
AU - Riccio, A. M.
AU - Marseglia, G. L.
AU - Caligo, G.
AU - Pallestrini, E.
AU - Ameli, F.
AU - Mira, E.
AU - Castelnuovo, P.
AU - Pagella, F.
AU - Ricci, A.
AU - Ciprandi, G.
AU - Canonica, G. W.
PY - 2001
Y1 - 2001
N2 - Background: Upper respiratory airway diseases may induce a worsening of asthma. Sinusitis represents one of the most common chronic diseases. The association of asthma and sinusitis varies greatly in different studies, depending on diagnostic procedures. Objective: The aims were: (i) to demonstrate that nasal endoscopy may be easily feasible in asthma at paediatric age; (ii) to evaluate the incidence of rhinosinusitis and adenoiditis in children with asthma by nasal endoscopy; (iii) to correlate inflammatory parameters such as cytology and microbiological cultures with nasal endoscopy findings. Subjects and methods: One hundred and forty-five asthmatic children were evaluated, 48 males and 97 females, with an average age of 7.27 years. Evaluated parameters were the incidence of rhinosinusal infections in asthmatic children, and the role of: (i) nasal endoscopy, (ii) nasal cytology, and (iii) nasal microbiology in their diagnoses. Results: Nasal endoscopy was successfully performed on 128 patients. Twenty-six children had endoscopic rhinosinusitis alone, 10 had adenoiditis alone, and 35 showed endoscopic rhinosinusitis associated with adenoiditis. There were significant correlations between endoscopic rhinosinusitis and adenoiditis (P <0.001), between clinical and endoscopic rhinosinusitis (P <0.001), between endoscopic rhinosinusitis and adenoiditis and microbiology (P <0.05 and P <0.0001, respectively), and between microbiology and cytology (P <0.05). Conclusion: This study shows that rhinosinusal infections are common in asthmatic children. Moreover, nasal endoscopy might represent a fruitful tool in the management of asthmatic children.
AB - Background: Upper respiratory airway diseases may induce a worsening of asthma. Sinusitis represents one of the most common chronic diseases. The association of asthma and sinusitis varies greatly in different studies, depending on diagnostic procedures. Objective: The aims were: (i) to demonstrate that nasal endoscopy may be easily feasible in asthma at paediatric age; (ii) to evaluate the incidence of rhinosinusitis and adenoiditis in children with asthma by nasal endoscopy; (iii) to correlate inflammatory parameters such as cytology and microbiological cultures with nasal endoscopy findings. Subjects and methods: One hundred and forty-five asthmatic children were evaluated, 48 males and 97 females, with an average age of 7.27 years. Evaluated parameters were the incidence of rhinosinusal infections in asthmatic children, and the role of: (i) nasal endoscopy, (ii) nasal cytology, and (iii) nasal microbiology in their diagnoses. Results: Nasal endoscopy was successfully performed on 128 patients. Twenty-six children had endoscopic rhinosinusitis alone, 10 had adenoiditis alone, and 35 showed endoscopic rhinosinusitis associated with adenoiditis. There were significant correlations between endoscopic rhinosinusitis and adenoiditis (P <0.001), between clinical and endoscopic rhinosinusitis (P <0.001), between endoscopic rhinosinusitis and adenoiditis and microbiology (P <0.05 and P <0.0001, respectively), and between microbiology and cytology (P <0.05). Conclusion: This study shows that rhinosinusal infections are common in asthmatic children. Moreover, nasal endoscopy might represent a fruitful tool in the management of asthmatic children.
KW - Adenoiditis
KW - Asthmatic children
KW - Cytology
KW - Microbiology
KW - Nasal endoscopy
KW - Rhinosinusitis
UR - http://www.scopus.com/inward/record.url?scp=0035723477&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0035723477&partnerID=8YFLogxK
U2 - 10.1046/j.1365-2222.2001.01057.x
DO - 10.1046/j.1365-2222.2001.01057.x
M3 - Article
C2 - 11359430
AN - SCOPUS:0035723477
VL - 31
SP - 609
EP - 615
JO - Clinical and Experimental Allergy
JF - Clinical and Experimental Allergy
SN - 0954-7894
IS - 4
ER -