Sinusitis is one of the most common upper respiratory tract infections in children as well as adults. If not treated on time, it may cause serious problems in the future. The main causes of sinusitis in children are; such as enlarged adenoids, anatomical disorders in the structure of the sinuses, frequent upper respiratory tract infections, crooked nasal bone or cartilage, nasal flesh enlargements, blocked sinus ducts, low immune system, allergies, smoking or exposure to smoking environments and air pollution. Reasons can be given.
What are the complaints of sinusitis?
Nasal congestion, nasal and postnasal drip, cough, bad breath, hoarseness and hoarseness, impaired taste and smell, sometimes fever, nausea. and complaints of vomiting may be observed. These symptoms reduce the child's quality of daily life and sleep, disrupt the child's concentration, and affect his development in both physical and cognitive areas. Therefore, in the presence of the above symptoms, it is necessary to consult an ENT specialist without delay.
How is it diagnosed?
Diagnosing sinusitis in children requires a lot of effort. . First of all, routine ENT examination is required. However, ENT examination, including endoscopy, is difficult, especially in children younger than 5-6 years old. If possible, inflammatory discharge from the sinuses into the nose can be seen during endoscopic examination performed with thin-tipped endoscopes. Most of the time, the presence of these complaints and examination findings are sufficient to diagnose sinusitis. However, in cases where the diagnosis cannot be made by examination, it becomes chronic and there is a possibility of causing complications, radiological methods such as sinus tomography are required. Straight sine films are now used much less frequently. These methods should be avoided as much as possible, both because they are difficult to perform in children and because they do not expose children to radiation unless necessary.
Inflammatory discharge from the sinus during endoscopic examination
How is it treated?
First of all, antibiotic treatment is required for the appropriate duration and dose. Treating underlying problems such as allergies, nasal congestion, and adenoids can help prevent sinusitis from recurring. It helps. Nasal drops containing physiological saline and nasal sprays and syrups for allergies are used from time to time to prevent nasal congestion. Whenever possible, surgical interventions are not performed on children. In cases that are likely to cause complications, endoscopic sinus surgery may be mandatory in the appropriate age group.
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