Department of Paediatrics - Foundation IRCCS Policlinico San Matteo, University of Pavia, Italy.
Int J Immunopathol Pharmacol. 2010 Jan-Mar;23(1 Suppl):29-31.
Chronic rhinosinusitis and asthma are not simply localized disease processes, but part of a systemic inflammatory disease affecting the respiratory tract. There is a correlation between severity of asthma and the clinical and imaging features of rhinosinusitis. It is very important to understand that in patients with chronic sinus disease, both upper and lower airways need to be evaluated and treated and that in patients with moderate or severe asthma, the sinus area should always be investigated, regardless of the presence or not of nasal symptoms. Nasal endoscopy may be considered a feasible and correct approach in asthmatic children to investigate rhinosinusal or adenoid infections, even if they do not present with any clinical sign. Thus, it becomes more and more important to perform a simple, easy and safe nasal endoscopy, in order to have a better chance to treat asthmatic children correctly by identifying a subclinical or an occult rhinosinusal infection.
慢性鼻-鼻窦炎和哮喘不仅仅是局部的疾病过程，而是影响呼吸道的全身性炎症性疾病的一部分。哮喘的严重程度与鼻-鼻窦炎的临床和影像学特征之间存在相关性。非常重要的是要理解，在慢性鼻窦疾病患者中，需要对上、下呼吸道进行评估和治疗，并且在中重度哮喘患者中，无论是否存在鼻部症状，都应始终检查鼻窦区域。鼻内窥镜检查可被认为是一种可行且正确的方法，可用于调查哮喘儿童的鼻-鼻窦或腺样体感染，即使他们没有任何临床症状。因此，进行简单、容易且安全的鼻内窥镜检查变得越来越重要，以便通过识别亚临床或隐匿性鼻-鼻窦感染，有更好的机会正确治疗哮喘儿童。
