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Nasal endoscopy in children with suspected allergic rhinitis.

机译:怀疑有过敏性鼻炎的儿童鼻内镜检查。

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摘要

OBJECTIVES/HYPOTHESIS: Ear, nose, and throat assessment may be frequently requested for children with allergic rhinitis (AR). Nasal endoscopy allows a thorough evaluation of the nose. The aim of the study was to investigate whether there are endoscopic signs predictive for AR diagnosis in a cohort of children with suspected AR. STUDY DESIGN: Cohort of observational study. METHODS: There were 176 children (99 males; mean age, 7.5 years) studied. Clinical visit, nasal endoscopy, and skin prick test were performed in all patients. Nasal endoscopic signs were pale turbinates, middle turbinate contact, and inferior turbinate contact. The AR diagnosis was made when nasal symptom history was concordant with sensitization. RESULTS: AR was diagnosed in 141 children. Inferior and middle turbinate contact were reliable predictive factors for AR (odds ratio 5.38 and 3.42, respectively), whereas pale turbinates did not predict it. CONCLUSIONS: This study suggests that nasal endoscopy may reveal signs predictive for AR diagnosis in children.
机译:目的/假设:过敏性鼻炎(AR)患儿可能经常需要进行耳,鼻和喉咙评估。鼻内窥镜检查可以对鼻子进行彻底评估。这项研究的目的是调查在一群疑似AR的儿童中是否存在可预测AR诊断的内窥镜征象。研究设计:观察研究队列。方法:研究了176名儿童(99名男性;平均年龄7.5岁)。所有患者均进行了临床就诊,鼻内窥镜检查和皮肤点刺试验。鼻内窥镜征是浅鼻甲,中鼻甲接触和下鼻甲接触。当鼻部症状史与致敏性一致时,才做出AR诊断。结果:AR被诊断为141名儿童。下鼻甲和中鼻甲的接触是AR的可靠预测因素(比值分别为5.38和3.42),而浅鼻甲则不能预测。结论:这项研究表明,鼻内窥镜检查可揭示可预测儿童AR诊断的体征。

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