Pietraś Aleksandra, Mielnik-Niedzielska Grażyna
Chair and Department of Pediatric Otolaryngology, Phoniatrics and Audiology, Medical University of Lublin, 20-093 Lublin, Poland.
Children (Basel). 2022 Jun 5;9(6):836. doi: 10.3390/children9060836.
Rhinosinusitis is an essential medical problem in pediatric populations. Due to a lack of studies considering allergy impact on pediatric rhinosinusitis, it seems legitimate to investigate this subject. The aim of this paper was to assess the influence of inhalant allergy on acute rhinosinusitis in children. The study involved 100 pediatric patients aged between 3 and 17 years who were admitted to the Chair and Department of Pediatric Otolaryngology, Phoniatrics and Audiology of the Medical University of Lublin due to acute rhinosinusitis. The control group consisted of 50 children without allergy, and the study group consisted of 50 children suffering from inhalant allergy. The methodology employed in this study involved medical history and laryngological examination, as well as laboratory and radiological testing. Dust mite allergy was the most common allergy among patients in the study group. Patients with allergies presented at the hospital later than patients without allergy, and their hospitalization lasted longer due to more severe sinus disease, higher inflammatory parameters, multiple sinus involvement, more frequent fever or rhinosinusitis complications, especially orbital occurrence. Most children in the control group required only pharmacological treatment. Inhalant allergy, especially dust mite allergy, contributes to more severe acute rhinosinusitis in children.
鼻窦炎是儿科人群中一个重要的医学问题。由于缺乏考虑过敏对小儿鼻窦炎影响的研究，对这一课题进行调查似乎是合理的。本文的目的是评估吸入性过敏对儿童急性鼻窦炎的影响。该研究纳入了100名3至17岁因急性鼻窦炎入住卢布林医科大学儿科耳鼻喉科、语音学和听力学教研室的儿科患者。对照组由50名无过敏的儿童组成，研究组由50名患有吸入性过敏的儿童组成。本研究采用的方法包括病史采集、喉镜检查以及实验室和影像学检查。尘螨过敏是研究组患者中最常见的过敏类型。过敏患者比无过敏患者到医院就诊的时间更晚，并且由于鼻窦疾病更严重、炎症参数更高、多个鼻窦受累、发热或鼻窦炎并发症更频繁（尤其是眼眶并发症），他们的住院时间更长。对照组的大多数儿童仅需药物治疗。吸入性过敏，尤其是尘螨过敏，会导致儿童急性鼻窦炎病情更严重。
