Ameli F, Castelnuovo P, Pagella F, Caligo G, Cerniglia M, Delù G, Tosca M A, Marseglia G L, Ciprandi G
ENT Department, San Martino Hospital Genoa, Italy.
Rhinology. 2004 Mar;42(1):15-8.
The aim of the study was to determine the role of rigid nasal endoscopy in the diagnosis of rhinosinusitis and adenoiditis in asthmatic children. Hundred-forty-five asthmatic children (aged 2-15 years) with recurrent upper respiratory symptoms were evaluated with complete ENT examination and nasal endoscopy by rigid endoscope during local anaesthesia. A step by step endoscopic procedure is described. Endoscopy was successfully performed in 128 patients (88.3%). Purulent rhinosinusitis was diagnosed in 61 subjects (47.6%) and adenoiditis in 45 subjects (35.1%). Rhinosinusitis was associated with adenoiditis in 35 subjects (27.3%), more frequently in younger children (i.e. 2-5 years). Nasal bacteria occurred in 90% of rhinosinusitis patients. Numerous anatomical anomalies were identified. Endoscopy of nasal cavity and rhinopharynx is less traumatic and more readily accepted than other methods. Nasal endoscopy may be proposed as an appropriate routine diagnostic tool in children since it is well tolerated, easily and quickly performed, cost-efficient, and useful in diagnosing rhinosinusitis.
该研究的目的是确定硬性鼻内镜检查在诊断哮喘儿童鼻窦炎和腺样体炎中的作用。对145例有反复上呼吸道症状的哮喘儿童（年龄2至15岁）在局部麻醉下进行了全面的耳鼻喉检查和硬性鼻内镜鼻内镜检查。描述了逐步的内镜检查程序。128例患者（88.3%）成功完成了内镜检查。61例受试者（47.6%）被诊断为化脓性鼻窦炎，45例受试者（35.1%）被诊断为腺样体炎。35例受试者（27.3%）的鼻窦炎与腺样体炎相关，在年幼儿童（即2至5岁）中更为常见。90%的鼻窦炎患者鼻腔有细菌。发现了许多解剖学异常。鼻腔和鼻咽的内镜检查比其他方法创伤性小，更容易被接受。鼻内镜检查耐受性良好、操作简便快捷、成本效益高且有助于诊断鼻窦炎，因此可作为儿童合适的常规诊断工具。
