© Borgis - New Medicine 3/2006, s. 53-55
Mieczysław Chmielik, Anna Kaczmarczyk
Inflammatory disorders of the nose and paranasal sinuses at the development age
Department of Paediatric Otorhinolaryngology of Medical University, Warsaw, Poland
Head of Department: Prof. Mieczysław Chmielik, MD, PhD
Inflammatory disorders of the nose and paranasal sinusues are one of the most common disorders at the development age and they are closely associated together. We describe our own classifications, diagnostics and therapeutic management of rhinosinusitis in children.
Inflammatory disorders of the upper respiratory tract are very frequent in people. Present living conditions, especially staying most of the time indoors, in heated or air-conditioned rooms, makes for additional loading on the respiratory tract. This loading concerns mainly the nose and paranasal sinuses, the places where the atmospheric air changes to respiratory air. A properly functioning respiratory system can perform sufficiently the above-mentioned functions. Nevertheless, leaving small children in a permanently infected environment, in poor climate conditions, may cause exhaustion of adaptive and defensive properties of the upper respiratory tract and lead to symptoms of inflammation. Allergic disorders may play a significant but difficult to assess role.
DEFINITION OF SINUSITIS IN CHILDREN
Sinusitis at the development age is an inflammatory process of the mucosa of the upper respiratory tract caused by infection or allergy, with disturbances of the drainage and ventilation of the nasal cavities and paranasal sinuses. Most cases of sinusitis in children are found together with rhinitis. So this disorder is named rhinosinusitis (according to Danielewicz).
Inflammation of the upper respiratory tract in children, especially in young children, has a different course from analogous disorders in adults, because of the different anatomical structure of the nose and paranasal sinuses, different immunological properties of the mucous membrane of this region and different defensive possibilities of the reticuloendothelial system. So, the classifications of sinusitis proposed by Lanz, Kennedy, Lunda and Benningera are not possible to completely use for patients at the development age.
The classification of inflammatory disorders of the nose should be based on Zeiger´s classification from 1998, in Orgel´s modification from 1991. The Mygind classification from 1993 and Meltzer from 1994, which take into account inflammatory non-inflammatory and structural rhinitis, may be used also.
So we proposed our own classification based on investigations over a few tens of years, as a special interest in this problem in our Paediatric Department of Medical University.
The proposed classification appears as below.
1. Acute rhinosinusitis.
2. Prolonged rhinosinusitis (in the literature described sometimes as subacute).
3. Chronic rhinosinusitis.
Powyżej zamieściliśmy fragment artykułu, do którego możesz uzyskać pełny dostęp.
Płatny dostęp tylko do jednego, POWYŻSZEGO artykułu w Czytelni Medycznej
(uzyskany kod musi być wprowadzony na stronie artykułu, do którego został wykupiony)
Płatny dostęp do wszystkich zasobów Czytelni Medycznej