Nasal endoscopic evaluation of children and adolescents with cystic fibrosis.

نویسندگان

  • Letícia Paiva Franco
  • Paulo Augusto Moreira Camargos
  • Helena Maria Gonçalves Becker
  • Roberto Eustáquio Santos Guimarães
چکیده

UNLABELLED The main otorhinolaryngological manifestations of CF are chronic rhinosinusitis and nasal polyposis, with different clinical presentations. AIM To characterize children and adolescents with cystic fibrosis through a questionnaire, an ENT clinical examination and nasal endoscopy. STUDY DESIGN Cross-sectional clinical descriptive. MATERIAL AND METHOD Assessment of 100 children and adolescents with cystic fibrosis through a specific questionnaire, ENT physical examination, nasal endoscopy and endoscopic staging of nasal polyps. RESULTS The most frequent symptoms were: cough (45%), oral breathing (44%), sleep disorders (42%) and nasal obstruction (37%). Twenty-eight patients (28%) had purulent nasal discharge, and 41% had medial bulging of the nasal lateral wall. Nasal polyps were identified in only 14% of cases, none were obstructing. CONCLUSION The questionnaire, clinical examination and especially nasal endoscopy lead to a detailed assessment of the nasal characteristics of children and adolescents with cystic fibrosis. Some findings were discordant with the literature, particularly the low prevalence of nasal polyps, and appear to be related to specific characteristics of the population studied. The best characterization of this group of patients, from the ENT standpoint, contributes to an appropriate multidisciplinary approach.

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عنوان ژورنال:
  • Brazilian journal of otorhinolaryngology

دوره 75 6  شماره 

صفحات  -

تاریخ انتشار 2009