التفاصيل البيبلوغرافية
| العنوان: |
Management of chronic rhinosinusitis. |
| المؤلفون: |
Cazzavillan, Alessandro, Castelnuovo, Paolo, Berlucchi, Marco, Baiardini, Ilaria, Franzetti, Andrea, Nicolai, Piero, Gallo, Stefania, Passalacqua, Giovanni |
| المصدر: |
Pediatric Allergy & Immunology; Aug2012, Vol. 23 Issue Supp S22, p32-44, 0p, 1 Black and White Photograph, 2 Charts |
| مصطلحات موضوعية: |
SINUSITIS, ALLERGIES, QUALITY of life, ADENOIDECTOMY, ENDOSCOPIC surgery |
| مستخلص: |
To cite this article: Cazzavillan A, Castelnuovo P, Berlucchi M, Baiardini I, Franzetti A, Nicolai P, Gallo S, Passalacqua G. Management of chronic rhinosinusitis in children. Pediatr Allergy Immunol 2012: 23 (Suppl. 22): 32-44. Abstract Chronic rhinosinusitis (CRS) in children is difficult to treat, with resultant frequent recurrences and failures. There are controversies in the treatment, mirroring the debate over the exact etiology of this disorder. The available medical treatments are antibiotics, topical nasal corticosteroids, and nasal lavage with saline solutions; though, there is no general agreement on the efficacy of the latter. The new technique of balloon sinuplasty allows ventilation to the sinuses to be restored with minimal risk and trauma to the tissues, and initial outcome seems promising, being successful in most treated children. Concerning the surgical approach, adenoidectomy is among the most frequent surgical procedures performed on children, but its therapeutic effect is controversial, because randomized studies have failed to prove that adenoidectomy alone is sufficient in curing CRS. Instead, functional endoscopic sinus surgery is a minimally invasive technique which restores the sinus ostia patency and can re-establish ventilation and drainage through the natural pathways. It is important that the effectiveness of any treatment is also evaluated by patient-reported outcomes (PROs) that refer to all health-related reports coming from the patients, without any involvement or interpretations by physician or others. Among PROs, health-related quality of life (HRQL) is the one most widely known and used. HRQL can be measured by means of validated questionnaires, which provide scores proportional to the degree of well-being perceived by patients. Concerning diseases of the upper airway including RS, there are numerous instruments specifically designed for children and caregivers, which allow to assess the effects of treatments in a more extensive and complete manner. [ABSTRACT FROM AUTHOR] |
|
Copyright of Pediatric Allergy & Immunology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
