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Follow-Up and Management of Chronic Rhinosinusitis in Adults with Primary Ciliary Dyskinesia: Review and Experience of Our Reference Centers
Chronic rhinosinusitis is the foremost manifestation in adult patients with primary ciliary dyskinesia (PCD). We present a retrospective series of 41 adult patients with a confirmed diagnosis of PCD followed in our reference centers. As part of the diagnostic work up in our centers, sinus computed t...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6780341/ https://www.ncbi.nlm.nih.gov/pubmed/31546861 http://dx.doi.org/10.3390/jcm8091495 |
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author | Bequignon, Emilie Dupuy, Laurence Escabasse, Virginie Zerah-Lancner, Francoise Bassinet, Laurence Honoré, Isabelle Legendre, Marie Devars du Mayne, Marie Crestani, Bruno Escudier, Estelle Coste, André Papon, Jean-François Maître, Bernard |
author_facet | Bequignon, Emilie Dupuy, Laurence Escabasse, Virginie Zerah-Lancner, Francoise Bassinet, Laurence Honoré, Isabelle Legendre, Marie Devars du Mayne, Marie Crestani, Bruno Escudier, Estelle Coste, André Papon, Jean-François Maître, Bernard |
author_sort | Bequignon, Emilie |
collection | PubMed |
description | Chronic rhinosinusitis is the foremost manifestation in adult patients with primary ciliary dyskinesia (PCD). We present a retrospective series of 41 adult patients with a confirmed diagnosis of PCD followed in our reference centers. As part of the diagnostic work up in our centers, sinus computed tomography scans (CTs) are systematically performed. All patients also undergo a sampling of purulent secretions sampled from the middle meatus under endoscopic view for bacteriological analysis. In our series, CT opacities were consistent in all the patients, as well as mainly partial and located in ethmoid cells (100% of patients) and in maxillary sinuses (85.4% of patients), and stayed stable over time. In the 31 patients who had purulent secretions, bacteriological culture showed at least one bacterium in 83.9% (n = 26). There was no significant difference in positive cultures for Pseudomonas aeruginosa in patients >40 years old versus those <40 (p = 0.17; Fisher). Surgical management was performed in only 19% of patients in order to improve sinonasal mechanical drainage. Our data support the hypothesis that the sinuses can be considered as a bacterial reservoir. From this retrospective study, we have introduced several changes into our routine clinical practice in our reference centers. Based on our analyses, medical and surgical treatments benefit from incorporating bacteriological information and sinonasal symptoms much more than CT scan evaluation alone. All patients now undergo systematically an annual simultaneous bacteriological sampling of the middle meatus and sputum to follow the relationship between ENT and lung disease and to help to antibiotic therapy strategy. |
format | Online Article Text |
id | pubmed-6780341 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-67803412019-10-30 Follow-Up and Management of Chronic Rhinosinusitis in Adults with Primary Ciliary Dyskinesia: Review and Experience of Our Reference Centers Bequignon, Emilie Dupuy, Laurence Escabasse, Virginie Zerah-Lancner, Francoise Bassinet, Laurence Honoré, Isabelle Legendre, Marie Devars du Mayne, Marie Crestani, Bruno Escudier, Estelle Coste, André Papon, Jean-François Maître, Bernard J Clin Med Article Chronic rhinosinusitis is the foremost manifestation in adult patients with primary ciliary dyskinesia (PCD). We present a retrospective series of 41 adult patients with a confirmed diagnosis of PCD followed in our reference centers. As part of the diagnostic work up in our centers, sinus computed tomography scans (CTs) are systematically performed. All patients also undergo a sampling of purulent secretions sampled from the middle meatus under endoscopic view for bacteriological analysis. In our series, CT opacities were consistent in all the patients, as well as mainly partial and located in ethmoid cells (100% of patients) and in maxillary sinuses (85.4% of patients), and stayed stable over time. In the 31 patients who had purulent secretions, bacteriological culture showed at least one bacterium in 83.9% (n = 26). There was no significant difference in positive cultures for Pseudomonas aeruginosa in patients >40 years old versus those <40 (p = 0.17; Fisher). Surgical management was performed in only 19% of patients in order to improve sinonasal mechanical drainage. Our data support the hypothesis that the sinuses can be considered as a bacterial reservoir. From this retrospective study, we have introduced several changes into our routine clinical practice in our reference centers. Based on our analyses, medical and surgical treatments benefit from incorporating bacteriological information and sinonasal symptoms much more than CT scan evaluation alone. All patients now undergo systematically an annual simultaneous bacteriological sampling of the middle meatus and sputum to follow the relationship between ENT and lung disease and to help to antibiotic therapy strategy. MDPI 2019-09-19 /pmc/articles/PMC6780341/ /pubmed/31546861 http://dx.doi.org/10.3390/jcm8091495 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Bequignon, Emilie Dupuy, Laurence Escabasse, Virginie Zerah-Lancner, Francoise Bassinet, Laurence Honoré, Isabelle Legendre, Marie Devars du Mayne, Marie Crestani, Bruno Escudier, Estelle Coste, André Papon, Jean-François Maître, Bernard Follow-Up and Management of Chronic Rhinosinusitis in Adults with Primary Ciliary Dyskinesia: Review and Experience of Our Reference Centers |
title | Follow-Up and Management of Chronic Rhinosinusitis in Adults with Primary Ciliary Dyskinesia: Review and Experience of Our Reference Centers |
title_full | Follow-Up and Management of Chronic Rhinosinusitis in Adults with Primary Ciliary Dyskinesia: Review and Experience of Our Reference Centers |
title_fullStr | Follow-Up and Management of Chronic Rhinosinusitis in Adults with Primary Ciliary Dyskinesia: Review and Experience of Our Reference Centers |
title_full_unstemmed | Follow-Up and Management of Chronic Rhinosinusitis in Adults with Primary Ciliary Dyskinesia: Review and Experience of Our Reference Centers |
title_short | Follow-Up and Management of Chronic Rhinosinusitis in Adults with Primary Ciliary Dyskinesia: Review and Experience of Our Reference Centers |
title_sort | follow-up and management of chronic rhinosinusitis in adults with primary ciliary dyskinesia: review and experience of our reference centers |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6780341/ https://www.ncbi.nlm.nih.gov/pubmed/31546861 http://dx.doi.org/10.3390/jcm8091495 |
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