Treatment with hypertonic saline versus normal saline nasal wash of pediatric chronic sinusitis☆,☆☆,★
Section snippets
Methods
Thirty-four children 3 to 16 years of age were enrolled in the study. They were given a diagnosis of chronic maxillary sinusitis according to the criteria described by Shapiro and Rachlefsky4, 7 during the summer seasons (June to September) of the years 1993 and 1994. They had been treated in the past with antibiotics for 3 weeks or more (seven patients in the HS group and three in the NS group), β2-agonists (eight in the HS group and 12 in the NS group), nasal steroids (two in the HS group and
Results
Thirty-four patients began the study, but four patients (three from the HS group and one from the NS group) could not tolerate the treatment because of the burning feeling in the nose and throat and left the study after 1 to 4 days.
The clinical and radiology scores were calculated as means ± SD. There was no significant difference between the readings of the radiology scores of the two investigators.
Fifteen patients (eight boys and seven girls, age 3 to 16 years old [median age, 9 years]) were
Discussion
Sinusitis is an increasingly recognized common and important cause of morbidity.2 Many patients with sinusitis experience chronic cough, fatigue, and lassitude characteristic of the disease. The prevalence of CS among patients with respiratory complaints is estimated to be as high as 73% of children 2 to 6 years of age, 74% of children 6 to 10 years of age, and 38% of children older than 10 years of age.3 CS also complicates 5% to 10% of the upper respiratory infections of young children.8 New
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2018, International Journal of Pediatric OtorhinolaryngologyCitation Excerpt :After full text review, additional studies were excluded, yielding 1 study that is quantitatively analyzed and discussed below (Fig. 1). While the systematic search and review identified 5 evaluable studies [28–32] exploring the use of NSI in pCRS, none met all inclusion criteria. These studies were excluded due to their design (2/5 were retrospective case series [29,30]) and comparators (3/5 studies compared two different forms of nasal irrigation [28,31,32]).
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From athe Pediatric Department, Bikur Cholim Hospital, Hadassa Medical School, Jerusalem; bPediatric Pulmonology, Barzilai Hospital, Ashkelon; cSHIRAM Asaf Harofe Medical Center, Zerifin; and dFamily Medicine Clinic Havazelet, Kupat Cholim Klalit, Rehovot.
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Reprint requests: David Shoseyov, MD, Pediatric Pulmonology Clinic, Bikur Cholim Hospital, Strauss St. 5, Jerusalem, 91004, Israel.
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