Wpływ przerostu migdałka gardłowego i skrzywienia przegrody nosa na zmiany zapalne w zatokach u dzieci do 5 roku życia

Małgorzata Dębska, Monika Jabłońska-Jesionowska, *Lidia Zawadzka-Głos

Summary
Introduction. Rhinosinusitis is the most common disease in young children. This state most frequently can be caused by hypertrophy of adenoid.
Aim. The aim of this study was finding the correlation between deviatio of septi nasi, hypertrophy of adenoid and pathology of paranasal sinuses on CT scan.
Material and methods. The 42 children’s computed tomography scans of paranasal sinuses were analyzed. 38 CT scans were done in horizontal and 4 in coronary plane. Those children were with ages from 3 months to 4 and half years.
Results. The pathology of paranasal sinuses most frequently was detected in ethmoid sinuses (47%). The ethmoiditis and maxillary sinusitis were caused by hypertrophy of adenoid. The deviation of septi nasi isn’t the reason of sinus’s pathology in such young children.
Conclusions. In 50% of CT images the pathology of paranasal sinuses was not found. The most frequent reason of recurrent infections and rhinosinusitis is hypertrophy of adenoid. There is no point to order CT examination of paranasal sinuses to diagnosed this pathology.

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