Hostname: page-component-586b7cd67f-l7hp2 Total loading time: 0 Render date: 2024-11-26T18:50:59.288Z Has data issue: false hasContentIssue false
  • English
  • Français

Post-adenoidectomy quality of life in children with refractory chronic rhinosinusitis

Published online by Cambridge University Press:  18 July 2017

V Bettadahalli  and
A Chakravarti
V Bettadahalli
Affiliation:
Department of Otorhinolaryngology, Lady Hardinge Medical College, New Delhi, India
A Chakravarti*
Affiliation:
Department of Otorhinolaryngology, Lady Hardinge Medical College, New Delhi, India
*
Address for correspondence: Dr A Chakravarti, Department of ENT, Lady Hardinge Medical College, Connaught Place, New Delhi 110001, India Fax: +91 9868 093035 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

This study aimed to evaluate post-adenoidectomy quality of life in children with refractory chronic rhinosinusitis.

Methods:

A prospective interventional study of children aged 4–12 years with chronic refractory rhinosinusitis was conducted. A total of 60 children completed follow up. Nasal endoscopy and non-contrast computed tomography of the paranasal sinuses were performed, and both symptoms and their effects on patient quality of life pre- and post-adenoidectomy were evaluated.

Results:

The most frequent symptoms were nasal obstruction, cough, fever and fatigue, which were experienced by 100 per cent, 90 per cent, 85 per cent and 81.7 per cent of children, respectively. Nasal endoscopy showed oedema and discharge were present in all children. A statistically significant post-operative improvement in sinus and nasal quality of life was seen in 53 children (88.3 per cent).

Conclusion:

Adenoidectomy is a simple, first-line surgical procedure for managing paediatric chronic rhinosinusitis refractory to maximal medical therapy and leads to an improved quality of life.

Keywords

AdenoidectomySinusitisQuality of Life
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 9 , September 2017 , pp. 773 - 778
Copyright
Copyright © JLO (1984) Limited 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Lanza, DC, Kennedy, DW. Adult rhinosinusitis defined. Otolaryngol Head Neck Surg 1997;117:S1–7Google Scholar
2 Bhattacharyya, N. Chronic rhinosinusitis: is the nose really involved? Am J Rhinol 2001;15:169–73Google Scholar
3 Wald, ER. Diagnosis and management of sinusitis in children. Adv Pediatr Infect Dis 1996;12:1–20 Google Scholar
4 Fokkens, WJ, Lund, VJ, Mullol, J, Bachert, C, Alobid, I, Baroody, F et al. European position paper on rhinosinusitis and nasal polyps 2012. Rhinology 2012;50(suppl 23):4–305 Google Scholar
5 Wu, AW, Shapiro, NL, Bhattacharyya N. Chronic rhinosinusitis in children: what are the treatment options? Immunol Allergy Clin North Am 2009 Nov;29:705–17Google Scholar
6 Tuncer, U, Aydogan, B, Soylu, L, Simsek, M, Akcali, C, Kucukcan, A. Chronic rhinosinusitis and adenoid hypertrophy in children. Am J Otolaryngol 2004;25:5–10 Google Scholar
7 Harvey, RJ, Lund, VJ. Biofilms and chronic rhinosinusitis: systematic review of evidence, current concepts and directions for research. Rhinology 2007;45:3–13 Google Scholar
8 Zuliani, G, Carron, M, Gurrola, J, Coleman, C, Haupert, M, Berk, R et al. Identification of adenoid biofilms in chronic rhinosinusitis. Int J Pediatr Otorhinolaryngol 2006;70:1613–17Google ScholarPubMed
9 Goldsmith, AJ, Rosenfeld, RM. Treatment of pediatric sinusitis. Pediatr Clin North Am 2003;50:413–26Google Scholar
10 Ramadan, HH. Surgical management of chronic sinusitis in children. Laryngoscope 2004;114:2103–9Google Scholar
11 Lieser, JD, Derkay, CS. Pediatric sinusitis: when do we operate? Curr Opin Otolaryngol Head Neck Surg 2005;13:60–6Google Scholar
12 Ramadan, HH. Chronic rhinosinusitis in children. Int J Pediatr 2012;2012:573942 Google Scholar
13 Bachert, C, Pawankar, R, Zhang, L, Bunnag, C, Fokkens, WJ, Hamilos, DL et al. ICON: chronic rhinosinusitis. World Allergy Organ J 2014;7:25 Google Scholar
14 Adappa, ND, Coticchia, JM. Management of refractory chronic rhinosinusitis in children. Am J Otolaryngol 2006;27:384–9Google Scholar
15 Cazzavillan, A, Castelnuovo, P, Berlucchi, M, Baiardini, I, Franzetti, A, Nicolai, P et al. Management of chronic rhinosinusitis. Pediatr Allergy Immunol 2012;23(suppl 22):32–44 Google Scholar
16 Shin, KS, Cho, SH, Kim, KR, Tae, K, Lee, SH, Park, CW et al. The role of adenoids in pediatric rhinosinusitis. Int J Pediatr Otorhinolaryngol 2008;72:1643–50Google Scholar
17. Sethi, G, Chakravarti, A. Quality of life after endoscopic sinus surgery in refractory pediatric chronic rhinosinusitis. Int J Pediatr Otorhinolaryngol 2016;90:160–4Google Scholar
18 van Cauwenberge, PB, Bellussi, L, Maw, AR, Paradise, JL, Solow, B. The adenoid as a key factor in upper airway infections. Int J Pediatr Otorhinolaryngol 1995;32:S71–S80 Google Scholar
19 Vogler, RC, Ii, FJ, Pilgram, TK. Age-specific size of the normal adenoid pad on magnetic resonance imaging. Clin Otolaryngol Allied Sci 2000;25:392–5Google Scholar
20 Anfuso, A, Ramadan, H, Terrell, A, Demirdag, Y, Walton, C, Skoner, DP et al. Sinus and adenoid inflammation in children with chronic rhinosinusitis and asthma. Ann Allergy Asthma Immunol 2015;114:103–10Google Scholar
21 Bahadir, O, Caylan, R, Bektas, D, Bahadir, A. Effects of adenoidectomy in children with symptoms of adenoidal hypertrophy. Eur Arch Otorhinolaryngol 2006;263:156–9Google Scholar
22 Brietzke, SE, Brigger, MT. Adenoidectomy outcomes in pediatric rhinosinusitis: a meta-analysis. Int J Pediatr Otorhinolaryngol 2008;72:1541–5Google ScholarPubMed
23 Ramadan, HH, Tiu, J. Failures of adenoidectomy for chronic rhinosinusitis in children: for whom and when do they fail? Laryngoscope 2007;117:1080–3Google Scholar
24 Ramadan, HH, Cost, JL. Outcome of adenoidectomy versus adenoidectomy with maxillary sinus wash for chronic rhinosinusitis in children. Laryngoscope 2008;118:871–3Google Scholar
25 Kay, DJ, Rosenfeld, RM. Quality of life for children with persistent sinonasal symptoms. Otolaryngol Head Neck Surg 2003;128:17–26 Google ScholarPubMed
26 Rudnick, EF, Mitchell, RB. Improvements in quality of life in children after surgical therapy for sinonasal disease. Otolaryngol Head Neck Surg 2006;134:737–40Google Scholar
27 Rudnick, EF, Mitchell, RB. Long-term improvements in quality-of-life after surgical therapy for pediatric sinonasal disease. Otolaryngol Head Neck Surg 2007;137:873–7Google Scholar
28 Lesinskas, E, Drigotas, M. The incidence of adenoidal regrowth after adenoidectomy and its effect on persistent nasal symptoms. Eur Arch Otorhinolaryngol 2009;266:469–73Google Scholar
29 Vandenberg, SJ, Heatley, DG. Efficacy of adenoidectomy in relieving symptoms of chronic sinusitis in children. Arch Otolaryngol Head Neck Surg 1997;123:675–8Google ScholarPubMed
30 Ramadan, HH. Adenoidectomy vs endoscopic sinus surgery for the treatment of pediatric sinusitis. Arch Otolaryngol Head Neck Surg 1999;125:1208–11Google Scholar