Abstract
SummaryThe sinonasal involvement is one of the most common manifestations in cystic fibrosis. Data show a high incidence of chronic rhinosinusitis in these patients. Although it has been found radiographic opacification of the sinus in more than 90% of cases, few are symptomatic. So that, it is difficult to recognize nasossinusal disease in patients with cystic fibrosis. Questionnaire, nasal endoscopy and CT-scan are very important methods in this approach.AimTo evaluate the diagnosis of chronic rhinosinusitis in patients with cystic fibrosis by anamnesis, nasal endoscopy and CT-scan and compare those results.Study DesignClinical prospective.Material and MethodEvaluation of 34 patients - older than 6 years and with a confirmed diagnoses of cystic fibrosis - by anamnesis (questionnaire), nasal endoscopy (score Lund-Kennedy) and CT-scan (score Lund-Mackay).Resultschronic rhinosinusitis was confirmed in: 20,58% of cases by the questionnaire, 73,52% of the cases by the nasal endoscopy and in 93,54% of the cases by the CT-scan. The results showed significant differences. The correlation between nasal endoscopy score (Lund-Kennedy score) and CT-scan score (Lund-Mackay score) was statistically significant.ConclusionThe diagnosis of chronic rhinosinusitis was statistically different between the three methods. It was higher in imaging analysis and lower in questionnaire. The nasal endoscopy is an excellent method to evaluate nasossinusal disease in cystic fibrosis
Highlights
IntroductionCystic fibrosis is a disease that should be part of our ENT knowledge because it has many manifestations in our area of work, especially those related with nasosinusal impairment
Cystic fibrosis is a disease that should be part of our ENT knowledge because it has many manifestations in our area of work, especially those related with nasosinusal impairment.It is a recessive autosomal genetic disease, characterized by a set of signs and symptoms resulting from impairment of exocrine glands and respiratory, digestive and reproductive tracts
The purpose of the present study was to assess the diagnosis of chronic rhinosinusitis in patients with cystic fibrosis using anamnesis, nasofibroscopy and computed tomography (CT scan) of the paranasal sinuses and by comparing their findings
Summary
Cystic fibrosis is a disease that should be part of our ENT knowledge because it has many manifestations in our area of work, especially those related with nasosinusal impairment. It is a recessive autosomal genetic disease, characterized by a set of signs and symptoms resulting from impairment of exocrine glands and respiratory, digestive and reproductive tracts. It is more incident in the Caucasian population, affecting 1:2,000 live births in many countries[1]. The appropriate importance of the approach to the paranasal sinuses affections in these patients is quite evident
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