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Boiko N.V.

Rostov State Medical University

Stateshnaya P.A.

Rostov State Medical University

Gukasyan E.L.

Rostov State Medical University

Stagniev S.D.

Rostov State Medical University

Chronic rhinosinusitis in children

Authors:

Boiko N.V., Stateshnaya P.A., Gukasyan E.L., Stagniev S.D.

More about the authors

Journal: Russian Rhinology. 2021;29(3): 161‑166

DOI: 10.17116/rosrino202129031161

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Table of contents

CHRONIC RHINOSINUSITIS IN CHILDREN
CHRONIC RHINOSINUSITIS IN CHILDREN

To cite this article:

Boiko NV, Stateshnaya PA, Gukasyan EL, Stagniev SD. Chronic rhinosinusitis in children. Russian Rhinology. 2021;29(3):161‑166. (In Russ.)
https://doi.org/10.17116/rosrino202129031161

Подписка 2026 Российская ринология (Russian Rhinology)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

The pathogenesis of the chronic rhinosinusitis in children has specifics in comparison with adults. It is possible that 2 subtypes may exist within the spectrum of pediatric CRS: «transient» (non-eosinophilic) that is typical for early childhood, which gradually transforms into «persistent» (eosinophilic) adult-like form, however this hypothesis requires further research. An important role in the CRS development in children is played such systemic factors as allergies and asthma, gastroesophageal reflux, genetics, endocrine and other disorders. The leading role belongs to the adenoids. Adenoids are reservoir of bacteria; they may exist in the biofilms form, and cause the nasal obstruction predisposing to disruption of mucociliary clearence in the nasal cavity and paranasal sinuses. The lack of correlation between the adenoids’ size and CRS development expands the indications for adenotomy at chronic inflammatory process in the paranasal sinuses. Adenotomy helps to reduce the bacterial load and improve mucociliary clearance that leads to reduction of inflammation severity in the nasal cavity, improves drainage and ventilation of the sinuses, and, as a result, the disappearance or reduction of CRS symptoms. With a persistent CRS in children, adenotomy should precede surgical interventions on the paranasal sinuses, which are resorted in adults in such cases.

Keywords:

chronic rhinosinusitis
features
children
adenoids

Authors:

Boiko N.V.

Rostov State Medical University

Stateshnaya P.A.

Rostov State Medical University

Gukasyan E.L.

Rostov State Medical University

Stagniev S.D.

Rostov State Medical University

Received:

01.07.2021

Accepted:

15.07.2021

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References:

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