West Virginia University School of Medicine, Department of Otolaryngology- Head and Neck Surgery, P.O. Box 9200, Morgantown, WV, 26506, USA.
West Virginia University School of Medicine, Department of Otolaryngology- Head and Neck Surgery, P.O. Box 9200, Morgantown, WV, 26506, USA.
Int J Pediatr Otorhinolaryngol. 2022 Oct;161:111269. doi: 10.1016/j.ijporl.2022.111269. Epub 2022 Aug 5.
Chronic adenoiditis (CA) and chronic rhinosinusitis (CRS) present with similar symptoms, but an accurate diagnosis is critical for optimal treatment. We aim to differentiate CRS and CA based on sinonasal symptoms using the Sinus and Nasal Quality of Life Survey (SN-5) in children.
This is a retrospective cohort study. Children (age 12 and younger) presenting with chronic sinonasal symptoms were divided into 2 groups based on CT scan sinus findings: CA group included patients with CT Lund-Mackay (LM) score <5 and CRS group included patients with CT LM score of 5 and more. SN-5 scores for each group were then compared, and both groups were compared to a control group. Other demographic data were also collected and analyzed.
There were 27 patients in the CA group, 42 patients in CRS group and 38 patients in the control group. Mean SN-5 scores were 2.03±0.71 for the control group, 3.49±1.00 for the CA group, and 4.53±0.77 for the CRS group (p < 0.0001); Statistical significance persisted when CA and CRS were compared in subset analysis (p < 0.0001). CT LM score was 2.70±2.07 for the CA group and 9.94±3.46 for the CRS group (p < 0.0001). Rates of asthma, allergic rhinitis, and smoke exposure differed between the three groups (p < 0.01), but they were not statistically different when CA and CRS were compared in subset analysis.
Children with CRS have higher SN-5 score than children with CA. SN-5 score can be used to help otolaryngologists differentiate between these two clinical entities.
慢性腺样体炎（CA）和慢性鼻-鼻窦炎（CRS）表现出相似的症状，但准确的诊断对于最佳治疗至关重要。我们旨在使用儿童鼻窦和鼻腔生活质量调查问卷（SN-5）基于鼻-鼻窦症状来区分 CRS 和 CA。
这是一项回顾性队列研究。根据 CT 扫描鼻窦发现，将表现出慢性鼻-鼻窦症状的儿童分为 2 组：CA 组包括 CT Lund-Mackay（LM）评分<5 的患者，CRS 组包括 CT LM 评分≥5 的患者。然后比较每组的 SN-5 评分，并将两组与对照组进行比较。还收集和分析了其他人口统计学数据。
CA 组有 27 例患者，CRS 组有 42 例患者，对照组有 38 例患者。对照组的 SN-5 平均得分为 2.03±0.71，CA 组为 3.49±1.00，CRS 组为 4.53±0.77（p<0.0001）；在亚组分析中比较 CA 和 CRS 时，仍具有统计学意义（p<0.0001）。CA 组的 CT LM 评分为 2.70±2.07，CRS 组为 9.94±3.46（p<0.0001）。三组之间哮喘、过敏性鼻炎和吸烟暴露率存在差异（p<0.01），但在亚组分析中比较 CA 和 CRS 时，无统计学差异。
CRS 患儿的 SN-5 评分高于 CA 患儿。SN-5 评分可用于帮助耳鼻喉科医生区分这两种临床实体。
