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Nasal polyposis in cystic fibrosis: follow-up of children and adolescents for a 3-year period()
INTRODUCTION: Nasal polyposis is often found in patients with cystic fibrosis. OBJECTIVE: To assess the incidence of nasal polyposis, the response to medical treatment, recurrence and the need for surgical intervention in children and adolescents with cystic fibrosis during a three-year follow-up. M...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9449177/ https://www.ncbi.nlm.nih.gov/pubmed/28277226 http://dx.doi.org/10.1016/j.bjorl.2016.09.005 |
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author | Weber, Silke Anna Theresa Iyomasa, Renata Mizusaki Corrêa, Camila de Castro Florentino, Wellington Novais Mafra Ferrari, Giesela Fleischer |
author_facet | Weber, Silke Anna Theresa Iyomasa, Renata Mizusaki Corrêa, Camila de Castro Florentino, Wellington Novais Mafra Ferrari, Giesela Fleischer |
author_sort | Weber, Silke Anna Theresa |
collection | PubMed |
description | INTRODUCTION: Nasal polyposis is often found in patients with cystic fibrosis. OBJECTIVE: To assess the incidence of nasal polyposis, the response to medical treatment, recurrence and the need for surgical intervention in children and adolescents with cystic fibrosis during a three-year follow-up. METHODS: Clinical symptoms (pulmonary, pancreatic insufficiency, malnutrition, nasal obstruction), two positive sweat chloride tests, and genotype findings in 23 patients with cystic fibrosis were analyzed. All patients underwent nasal endoscopy every 12 months from January 2005 to December 2007, to assess the presence and grade of Nasal Polyps. Nasal polyposis, when present, were treated with topical corticosteroids for 6–12 months, with progress being evaluated within the 3 years of follow-up. RESULTS: In the first evaluation, nasal polyposis was diagnosed in 30.43% of patients (3 bilateral and 4 unilateral), recurrent pneumonia in 82.6%, pancreatic insufficiency in 87%, and malnutrition in 74%. The presence of nasal polyposis was not associated with chloride values in the sweat, genotype, clinical signs of severity of cystic fibrosis, or nasal symptoms. In the three-year period of follow up, 13 patients (56.52%) had at least one event of polyposis, with the youngest being diagnosed at 32 months of age. Only one patient underwent surgery (polypectomy), and there was one diagnosis of nasopharyngeal carcinoma. CONCLUSION: The study showed a high incidence of nasal polyposis. Monitoring through routine endoscopy in patients with cystic fibrosis, even in the absence of nasal symptoms, is highly recommended. The therapy with topical corticosteroids achieved good results. Thus, an interaction between pediatricians and otolaryngologists is necessary. |
format | Online Article Text |
id | pubmed-9449177 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-94491772022-09-09 Nasal polyposis in cystic fibrosis: follow-up of children and adolescents for a 3-year period() Weber, Silke Anna Theresa Iyomasa, Renata Mizusaki Corrêa, Camila de Castro Florentino, Wellington Novais Mafra Ferrari, Giesela Fleischer Braz J Otorhinolaryngol Original Article INTRODUCTION: Nasal polyposis is often found in patients with cystic fibrosis. OBJECTIVE: To assess the incidence of nasal polyposis, the response to medical treatment, recurrence and the need for surgical intervention in children and adolescents with cystic fibrosis during a three-year follow-up. METHODS: Clinical symptoms (pulmonary, pancreatic insufficiency, malnutrition, nasal obstruction), two positive sweat chloride tests, and genotype findings in 23 patients with cystic fibrosis were analyzed. All patients underwent nasal endoscopy every 12 months from January 2005 to December 2007, to assess the presence and grade of Nasal Polyps. Nasal polyposis, when present, were treated with topical corticosteroids for 6–12 months, with progress being evaluated within the 3 years of follow-up. RESULTS: In the first evaluation, nasal polyposis was diagnosed in 30.43% of patients (3 bilateral and 4 unilateral), recurrent pneumonia in 82.6%, pancreatic insufficiency in 87%, and malnutrition in 74%. The presence of nasal polyposis was not associated with chloride values in the sweat, genotype, clinical signs of severity of cystic fibrosis, or nasal symptoms. In the three-year period of follow up, 13 patients (56.52%) had at least one event of polyposis, with the youngest being diagnosed at 32 months of age. Only one patient underwent surgery (polypectomy), and there was one diagnosis of nasopharyngeal carcinoma. CONCLUSION: The study showed a high incidence of nasal polyposis. Monitoring through routine endoscopy in patients with cystic fibrosis, even in the absence of nasal symptoms, is highly recommended. The therapy with topical corticosteroids achieved good results. Thus, an interaction between pediatricians and otolaryngologists is necessary. Elsevier 2016-10-17 /pmc/articles/PMC9449177/ /pubmed/28277226 http://dx.doi.org/10.1016/j.bjorl.2016.09.005 Text en © 2016 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Original Article Weber, Silke Anna Theresa Iyomasa, Renata Mizusaki Corrêa, Camila de Castro Florentino, Wellington Novais Mafra Ferrari, Giesela Fleischer Nasal polyposis in cystic fibrosis: follow-up of children and adolescents for a 3-year period() |
title | Nasal polyposis in cystic fibrosis: follow-up of children and adolescents for a 3-year period() |
title_full | Nasal polyposis in cystic fibrosis: follow-up of children and adolescents for a 3-year period() |
title_fullStr | Nasal polyposis in cystic fibrosis: follow-up of children and adolescents for a 3-year period() |
title_full_unstemmed | Nasal polyposis in cystic fibrosis: follow-up of children and adolescents for a 3-year period() |
title_short | Nasal polyposis in cystic fibrosis: follow-up of children and adolescents for a 3-year period() |
title_sort | nasal polyposis in cystic fibrosis: follow-up of children and adolescents for a 3-year period() |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9449177/ https://www.ncbi.nlm.nih.gov/pubmed/28277226 http://dx.doi.org/10.1016/j.bjorl.2016.09.005 |
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