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Der Pneumologe

, Volume 14, Issue 6, pp 378–387 | Cite as

Rhinosinusitis in der Pädiatrie und bei Lungenerkrankungen

Wissensstand und die neue AWMF-Leitlinie
  • M. A. RoseEmail author
Pädiatrische Pneumologie
  • 143 Downloads

Zusammenfassung

Die akute Rhinosinusitis (ARS) ist häufig. Typisch ist das Auftreten nach einer viralen Infektion der oberen Atemwege und die Ausheilung binnen 10 Tagen – mit und ohne Therapie. Oft besteht ein Zusammenhang der ARS oder auch der chronischen Rhinosinusitis (CRS) mit Erkrankungen der unteren Atemwege. Rezidivierende Pneumonien kommen häufiger bei CRS mit abtropfenden Rachensekreten („postnasal drip“) als bei gesunden Kindern vor. Ursache eines anhaltenden Hustens kann ein „postnasal drip syndrome“ oder Asthma bronchiale sein, ggf. in Kombination. Auch ist an eine protrahierte bakterielle Bronchitis, psychogenen Husten und an eine gastroösophageale Refluxerkrankung als Ursache zu denken. Darüber hinaus spielen die atopischen Erkrankungen eine Rolle. In der vorliegenden Arbeit wird der aktuelle Wissensstand zusammengefasst. Außerdem wird die gerade veröffentlichte AWMF-Leitlinie „Rhinosinusitis“ der Deutschen Gesellschaft für Allgemeinmedizin und Familienmedizin und der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie im Abgleich mit Empfehlungen der European Society of Pediatric Otorhinolaryngology (EPOS) erörtert.

Schlüsselwörter

Akute Rhinosinusitis Nasennebenhöhlen Chronische Rhinosinusitis Atemwegsinfektionen Allergische Rhinitis 

Rhinosinusitis in pediatric and lung disease patients

Current understanding and the new AWMF guideline

Abstract

Acute rhinosinusitis (ARS) is common. Typically, ARS occurs after viral infection of the upper airways and resolves within 10 days, with or without treatment. There is often an association between ARS or chronic rhinosinusitis (CRS) and diseases of the lower airways. Recurrent pneumonia is more frequent in children with CRS with postnasal drip than in healthy children. The cause of a persistent cough can be postnasal drip syndrome or bronchial asthma, sometimes in combination. Prolonged bacterial bronchitis, psychogenic cough, and gastroesophageal reflux disease should also be considered as possible causes. Atopic diseases play an additional role. The current article reviews the current state of knowledge. Moreover, the recently published AWMF guideline “Rhinosinusitis” from the German College of General Practitioners and Family Physicians and the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery is presented and compared to the recommendations of the European Society of Pediatric Otorhinolaryngology (EPOS).

Keywords

Acute rhinosinositis Paranasal sinuses Chronic rhinosinositis Respirators tract infections Allergic rhinitis 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

M. A. Rose hat finanzielle Unterstützung und Vortragshonorare für Forschungsprojekte von Allergika-Firmen wie Bencard oder Allergopharma erhalten. Dies hat keinen Einfluss auf die vorliegenden Darstellungen.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Copyright information

© Springer Medizin Verlag GmbH 2017

Authors and Affiliations

  1. 1.Klinik für Kinder- und JugendmedizinKlinikum St. GeorgLeipzigDeutschland

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