Paranasal sinus computed tomographic findings of children with chronic cough

Int J Pediatr Otorhinolaryngol. 2001 Sep 28;60(3):213-7. doi: 10.1016/s0165-5876(01)00535-3.


Objective: Chronic cough is a frequent problem in the practice of clinical pediatrics, and sinusitis is a common etiologic factor. In this study, our aim was to determine the prevalence of sinus abnormalities in pediatric patients presenting with chronic cough.

Methods: Forty-two patients, ranging from 3 to 16 years of age from both sexes completed the study. Paranasal sinuses were examined by coronal paranasal sinus limited computed tomographic scan. The CT scan findings were categorized as no disease, minimal, moderate and severe sinusitis.

Results: The most frequent symptoms after cough were rhinorrhea, sniffling, and halitosis. We found sinus abnormalities in 66.6% and no abnormality in 33.3% of the children. Age and sex were not important factors in sinus disease. There was no correlation between sinus findings and any of symptoms. The most common anatomical abnormalities were concha bullosa, paradoxical middle turbinate, Haller's cells, and deviated nasal septum. These abnormalities were not correlated with sinus disease.

Conclusion: Paranasal sinus abnormalities are common among pediatric patients with chronic cough and imaging studies of the sinuses should be considered in these children.

MeSH terms

  • Adolescent
  • Age Distribution
  • Child
  • Child, Preschool
  • Chronic Disease
  • Comorbidity
  • Cough / diagnosis
  • Cough / epidemiology*
  • Female
  • Humans
  • Male
  • Multivariate Analysis
  • Paranasal Sinuses / diagnostic imaging*
  • Prevalence
  • Probability
  • Prognosis
  • Regression Analysis
  • Risk Factors
  • Severity of Illness Index
  • Sex Distribution
  • Sinusitis / diagnostic imaging*
  • Sinusitis / epidemiology*
  • Tomography, X-Ray Computed