Intractable pediatric chronic sinusitis with antrochoanal polyp.

Abstract:

:It has been reported that pediatric chronic sinusitis with antrochoanal polyp is difficult to cure because it tends to recur easily even with surgery. Therefore, in order to improve its cure rate, aggressive treatment combining polypectomy, intra-maxillary intubation through the inferior meatus, macrolide administration, etc., was attempted. Thirty-seven sides of pediatric chronic sinusitis with antrochoanal polyp and 44 sides of chronic sinusitis without polyp were evaluated after the same treatments. The mean age of patients was 9.7 years, and the mean intubation period was 20 months. Since subjective improvements in children are questionable, the efficacy was evaluated strictly on the basis of X-ray alone focusing on the maxillary sinus. Twenty-four percent of the group with antrochoanal polyp showed 'excellent' effect, i.e. almost complete resolution of the sinus findings, while 45% of the group without polyp showed 'excellent' effect, with a mean follow-up period of 3 years and 6 months. This difference was significant (P<0. 01, chi(2)-test). These results further document the intractableness of chronic sinusitis with choanal polyp in children.

authors

Saito H,Honda N,Yamada T,Mori S,Fujieda S,Saito T

doi

10.1016/s0165-5876(00)00352-9

subject

Has Abstract

pub_date

2000-08-31 00:00:00

pages

111-6

issue

2-3

eissn

0165-5876

issn

1872-8464

pii

S0165587600003529

journal_volume

54

pub_type

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