Advertisement

Sinusitis im Kindesalter

  • G. A. Gates
Conference paper
Part of the Verhandlungsbericht der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie book series (VBDG HNO, volume 1991 / 1)

Zusammenfassung

Die Infektion der Nasennebenhöhlen ist eine der häufigsten Erkrankungen im Kindesalter, dennoch wird dieses Problem häufig nicht erkannt. Ein Faktor, der dazu beiträgt, daß die Sinusitis bei Kindern oft nicht diagnostiziert wird, ist die Häufigkeit ihrer Hauptsymptome — Rhinorrhö und Husten. Diese finden sich auch als Hauptsymptome anderer gutartiger Erkrankungen der oberen Atemwege, wie z. B. Allergien, vasomotorischen Dysfunktionen und Virusinfektionen. Da diese Symptome normalerweise von selbst ausheilen, werden sie oft unterschätzt und wenn ihnen eine chronische Sinusitis zugrunde liegt, kann sich da-durch deren Diagnose und Behandlung verzögern.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. 1.
    Albegger KW (1977) Banale Entzündungen der Nase und der Nasennebenhöhlen. In: Berendes J, Link R, Zöllner F (eds) Hals-Nasen-Ohren-Heilkunde in Praxis und Klinik, Bd 1: Obere und untere Luftwege I. Thieme, Stuttgart, 11.1–11.32Google Scholar
  2. 2.
    Antilla J, Kortekangas AE (1987) Frequent irrigation in maxillary sinusitis therapy. Rhinology 27:237–240Google Scholar
  3. 3.
    Aust R, Drettner B, Falck B (1979) Studies of the effect of peroral fenylpropanolamin on the functional size of the human maxillary ostium. Acta Otolaryngol 88:445–458CrossRefGoogle Scholar
  4. 4.
    Bever HPS van, Bosnians J, Stevens WJ (1989) Nebulization treatment with saline compared to bromhexine in treating chronic sinusitis in asthmatic children. Allergy 42:33–36CrossRefGoogle Scholar
  5. 5.
    Bluestone CD (1985) Symposium on Sinusitis — Preface. Ped Inf Dis 4:49CrossRefGoogle Scholar
  6. 6.
    Bluestone CD, Steiner RE (1965) Intracranial complications of acute frontal sinusitis. South Med J 58:1–10PubMedCrossRefGoogle Scholar
  7. 7.
    Bordley JE, Bischofberger W (1967) Osteomyelitis of the frontal bone. Laryngoscope 77:1234–1244PubMedCrossRefGoogle Scholar
  8. 8.
    Bos AP, Tibboel D, Hazebroek FWJ et al. (1989) Sinusitis: Hidden source of sepsis in postoperative pediatric intensive care patients. Crit Care Med 17:886–888PubMedCrossRefGoogle Scholar
  9. 9.
    Brook I (1981) Bacteriologic features of chronic sinusitis in children. JAMA 246:967–969PubMedCrossRefGoogle Scholar
  10. 10.
    Caplan ES, Hoyt NJ (1982) Nosocomial sinusitis. JAMA 247:6319–6641CrossRefGoogle Scholar
  11. 11.
    Carson JL, Collier AM, Hu SS (1985) Acquired ciliary defects in nasal epithelium of children with acute viral upper respiratory infections. N Engl J Med 312:463–468PubMedCrossRefGoogle Scholar
  12. 12.
    Chandler JR, Langenbrunner DJ, Stevens ER (1970) The pathogenesis of orbital complications in acute sinusitis. Laryngoscope 80:144–1428Google Scholar
  13. 13.
    Drake-Lee AB, Morgan DW (1989) Nasal polyps and sinusitis in children with cystic fibrosis. J Laryngol Otol 103:753–755PubMedGoogle Scholar
  14. 14.
    Drettner B (1980) Pathophysiology of paranasal sinuses with clinical implications. Clin Otolaryngol 5:272–284CrossRefGoogle Scholar
  15. 15.
    Eavey RD, Nadol JB Jr, Holmes LB et al (1986) Kartagener’s syndrome: A blinded, controlled study of ciliary ultrastructure. Arch Otolaryngol Head Neck Surg 112:646–650PubMedCrossRefGoogle Scholar
  16. 16.
    Eliasson R, Mossberg B, Cammer P et al (1977) The immotile cilia syndrome: a congenital ciliary abnormality as an etiologic factor in chronic airway infections and male sterility. N Engl J Med 297:1–6PubMedCrossRefGoogle Scholar
  17. 17.
    Evans FO, Sydnor B, Moore WEC et al (1963) Sinusitis of the maxillary antrum. J Laryngol Otol 77:1009–1013Google Scholar
  18. 18.
    Faleck H, Rothner AD, Erenberg G, Cruse RP (1988) Headache and subacute sinusitis in children and adolescents. Headache 28:96–98PubMedCrossRefGoogle Scholar
  19. 19.
    Ferguson MA, Todd JK (1990) Toxic shock syndrome associated with Staphylococcus aureus Sinusitis in Children. J Inf Dis 161:953–955CrossRefGoogle Scholar
  20. 20.
    Fredrick J, Braude Al (1974) Anaerobic infection of the paranasal sinuses. N Engl J Med 290:135–137CrossRefGoogle Scholar
  21. 21.
    Grote JJ, Kuijpers W (1980) Middle ear effusion and sinusitis. J Laryngol Otol 94:177–183PubMedCrossRefGoogle Scholar
  22. 22.
    Hamory BH, Sande MA, Sydnor A et al (1979) Etiology and antimicrobial therapy of acute maxillary sinusitis. J Infect Dis 139:197–202PubMedCrossRefGoogle Scholar
  23. 23.
    Heintz B, Schlenter WW, Kirsten R, Nelson K (1989) Clinical efficacy of Broncho-Vaxom in adult patients with chronic purulent sinusitis — a multicentric, placebo-controlled, double-blind study. Int J Clin Pharmacol Ther Toxicol 27:530—534PubMedGoogle Scholar
  24. 24.
    Johnson DL, Markle BM, Wiedermann BL, Hanahan L (1988) Treatment of intracranial abscesses associated with sinusitis in children and adolescents. J Pediatrics 113:15–23CrossRefGoogle Scholar
  25. 25.
    Katzenstein AA, Sale SR, Greenberger PA (1989) Allergic Aspergillus sinusitis: A newly recognized form of sinusitis. J Allerg Clin Immunol 72:8–93Google Scholar
  26. 26.
    Kennedy DW, Zinreich JS, Forsenbaum AE et al (1985) Functional Endoscopic sinus surgery. Theory and diagnostic evaluation. Arch Otolaryngol 111:576–582PubMedCrossRefGoogle Scholar
  27. 27.
    Kessler L (1968) Bacterienflora der Nasenhaupt- und Nasennebenhöhlen bei chronischen Sinusitiden und ihre Beziehung zueinander. Hals-Nas-Ohrenarzt 16:36–40Google Scholar
  28. 28.
    Kovatch AL, Wald ER, Ledesma-Medina J et al (1984) Maxillary sinus radiographs in children with nonrespiratory complaints. Pediatrics 73:306–308PubMedGoogle Scholar
  29. 29.
    Laskownick A, Kurdzielewica J, Macure A, Odrasinska-Cholewa B (1978) Mycotic sinusitis in children. Mykosen 21:407–411 (Quoted by Stammberger [50])Google Scholar
  30. 30.
    Lusk RP, Muntz HR (1990) Endoscopic sinus surgery in children with chronic sinusitis: A pilot study. Laryngoscope 100:654–658PubMedCrossRefGoogle Scholar
  31. 31.
    Mann W, Jonas I (1981) Untersuchungen zur Spontanheilung der Sinusitis maxillaris. Z Hals-Nasen-Ohrenheilkd 29:92–94Google Scholar
  32. 32.
    Mann W, Beck C, Apostolidis T (1977) Liability of ultrasound in maxillary sinus disease. Arch Oto-Rhino-Laryngol 215:67–74CrossRefGoogle Scholar
  33. 33.
    McAlister WH, Lusk R, Muntz HR (1989) Comparison of plain radiographs and coronal CT scans in infants and children with recurrent sinusitis. Am J Radiol 153:1259–1264Google Scholar
  34. 34.
    Messerklinger W (1967) On the drainage of the normal frontal sinus of man. Acta Otolaryngol 63:178–181CrossRefGoogle Scholar
  35. 35.
    Muntz HR, Lusk RP (1990) Nasal antral windows in children: A retrospective study. Laryngoscope 100:643–646PubMedGoogle Scholar
  36. 36.
    Mygind N, Pedersen M, Nielsen HM (1983) Primary and secondary ciliary dyskinesia. Acta Otolaryngol 95:688–694PubMedCrossRefGoogle Scholar
  37. 37.
    Otten FWA, Grote JJ (1988) Treatment of chronic maxillary sinusitis in children. Int J Ped Otorhinolaryngol 15:269–278CrossRefGoogle Scholar
  38. 38.
    Otten FWA, Grote JJ (1989) The diagnostic value of transillumination for maxillary sinusitis in children. Int J Ped Otorhinolaryngol 18:9–11CrossRefGoogle Scholar
  39. 39.
    Otten FWA, Grote JJ (1990) Otitis media with effusion and chronic upper respiratory tract infection in children: A randomized, placebo-controlled clinical study. Laryngoscope 100:627–633PubMedCrossRefGoogle Scholar
  40. 40.
    Pillsbury HC, Fischer ND (1977) Rhinocerebral mucormycosis. Arch Otolaryngol 103:600–604PubMedCrossRefGoogle Scholar
  41. 41.
    Rachelefsky GS, Katz RM, Siegel SC (1982) Chronic sinusitis in children with respiratory allergy: the role of antimicrobials. J Allergy Clin Immunol 69:382–387PubMedCrossRefGoogle Scholar
  42. 42.
    Rachelefsky GS, Katz RM, Siegel SC (1984) Chronic sinus disease with associated reactive airway disease in children. Pediatrics 73:526–529PubMedGoogle Scholar
  43. 43.
    Reilly JS, Hotaling AJ, Chiponis D, Wald ER (1989) Use of ultrasound in detection of sinus disease in children. Int J Pediatr Otorhinolaryngol 17:225–230PubMedCrossRefGoogle Scholar
  44. 44.
    Roth RP, Cantekin El, Bluestone CD (1977) Nasal decongestant activity of pseudoephedrine. Ann Otol Rhinol Laryngol 86:235–240PubMedGoogle Scholar
  45. 45.
    Schleffler TR (1990) Untersuchungen zur möglichen Pathogenese der Badesinusitis. Laryngol Rhinol Otol 69:221–225CrossRefGoogle Scholar
  46. 46.
    Schwachmann H, Kukychi I, Mueller H, Flake C (1962) Nasal polyps in patients with cystic fibrosis. Pediatrics 30:389–401Google Scholar
  47. 47.
    Shapiro ED, Milmoe GJ, Wald ER et al. (1982) Bacteriology of the maxillary sinuses in patients with cystic fibrosis. J Infect Dis 146:589–593PubMedCrossRefGoogle Scholar
  48. 48.
    Shapiro GG (1988) Sinusitis in children. J Allergy Clin Immunol 81:1025–1027PubMedCrossRefGoogle Scholar
  49. 49.
    Shapiro GG, Furukawa CT, Pearson WE et al. (1986) Blinded comparison of maxillary sinus radiography and ultrasound for diagnosis of sinusitis. J Allergy Clin Immunol 77:59–64PubMedCrossRefGoogle Scholar
  50. 50.
    Stammberger H (1985) Endoscopic surgery for mycotic and chronic recurring sinusitis. Ann Otol Rhinol Laryngol [Suppl 110] 91:1–11Google Scholar
  51. 51.
    Stammberger H (1986) Endoscopic endonasal surgery — Concepts in treatment of recurring rhinosinusitis. Part II. Surgical Technique. Otolaryngol Head Neck Surg 94:147–156PubMedGoogle Scholar
  52. 52.
    Umetsu D, Ambrosino DM, Wuinti I, Siber GR, Geha RS (1985) Recurrent sinopulmonay infection and impaired antibody response to bacterial capsular polysaccharide antigen in children with selective IgG subclass deficiency. N Engl J Med 313:1247–1251PubMedCrossRefGoogle Scholar
  53. 53.
    Wald ER (1985) Epidemiology, pathophysiology and etiology sinusitis. Ped Inf Dis 4:S51–S53CrossRefGoogle Scholar
  54. 54.
    Wald ER (1988) Sinusitis in children. Pediatr Infect Dis J 7:S150–S153PubMedCrossRefGoogle Scholar
  55. 55.
    Wald ER, Milmoe GJ, Bowen A, Ledesma-Medina J, Salamon N, Bluestone CD (1981) Acute maxillary sinusitis in children. New Engl J Med 04:749–754CrossRefGoogle Scholar
  56. 56.
    Wald ER, Pang D, Milmoe GJ et al. (1981) Sinusitis and its complications in the pediatric patients. Symp Pediatr Otolaryngol 28:777–796Google Scholar
  57. 57.
    Wald ER, Reilly JS, Casselbrant JL, Ledesma-Medina J, Milmoe GJ et al. (1984) Treatment of acute maxillary sinusitis in childhood. J Pediatr 104:297–302PubMedCrossRefGoogle Scholar
  58. 58.
    Wald ER, Chiponis D, Medina JL (1986) Comparative effectiveness of amoxicillin-clavulanate potassium in acute paranasal sinus infection in children: A double-blind placebo-controlled trial. Pediatrics 77:795–800PubMedGoogle Scholar
  59. 59.
    Wald ER, Byers C, Guerra N, Casselbrant M, Beste D (1989) Subacute sinusitis in children. J Pediatr 115:28–32PubMedCrossRefGoogle Scholar
  60. 60.
    Zagar S, Lefler-Badzek (1988) Broncho-Vaxom in children with rhinosinusitis: A double-blind clinical trial. ORL 50:397–404PubMedCrossRefGoogle Scholar
  61. 61.
    Zimmerman B, Stringer D, Feanny S et al. (1987) Prevalence of abnormalities found by sinus x-rays in childhood asthma: Lack of relation to severity of asthma. J Allergy Clin Immunol 80:268–273PubMedCrossRefGoogle Scholar
  62. 62.
    Zinreich SJ, Kennedy DW, Rosenbaum AE, Gayler BW, Kumar AJ, Stammberger H (1987) Paranasal sinuses: CT imaging requirements for endoscopic surgery. Radiology 163:769–775PubMedGoogle Scholar
  63. 63.
    Zinreich SJ, Kennedy DW, Malat J, Curtin HD, Epstein JI, Huff LC, Kumar J, Johns ME, Rosenbaum AE (1988) Fungal sinusitis: diagnosis with CT and MRI imaging. Radiology 169:439–444PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1991

Authors and Affiliations

  • G. A. Gates
    • 1
  1. 1.Dept. of Otolaryngology, Head and Neck SurgeryWashington University School of MedicineSt. LouisUSA

Personalised recommendations