Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2009 Nov-Dec;75(6):806-13.
doi: 10.1016/s1808-8694(15)30541-3.

Nasal endoscopic evaluation of children and adolescents with cystic fibrosis

Letícia Paiva Franco  1 , Paulo Augusto Moreira Camargos, Helena Maria Gonçalves Becker, Roberto Eustáquio Santos Guimarães
Affiliations

Nasal endoscopic evaluation of children and adolescents with cystic fibrosis

Letícia Paiva Franco et al. Braz J Otorhinolaryngol. 2009 Nov-Dec.

Abstract

The main otorhinolaryngological manifestations of CF are chronic rhinosinusitis and nasal polyposis, with different clinical presentations.

Aim: To characterize children and adolescents with cystic fibrosis through a questionnaire, an ENT clinical examination and nasal endoscopy.

Study design: Cross-sectional clinical descriptive.

Material and method: Assessment of 100 children and adolescents with cystic fibrosis through a specific questionnaire, ENT physical examination, nasal endoscopy and endoscopic staging of nasal polyps.

Results: The most frequent symptoms were: cough (45%), oral breathing (44%), sleep disorders (42%) and nasal obstruction (37%). Twenty-eight patients (28%) had purulent nasal discharge, and 41% had medial bulging of the nasal lateral wall. Nasal polyps were identified in only 14% of cases, none were obstructing.

Conclusion: The questionnaire, clinical examination and especially nasal endoscopy lead to a detailed assessment of the nasal characteristics of children and adolescents with cystic fibrosis. Some findings were discordant with the literature, particularly the low prevalence of nasal polyps, and appear to be related to specific characteristics of the population studied. The best characterization of this group of patients, from the ENT standpoint, contributes to an appropriate multidisciplinary approach.

PubMed Disclaimer

Figures

Chart 1
Chart 1
Endoscopic staging (Lund-Kennedy) of 14 patients with nasal polyps.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Leiberman A, Cole P, Corey M, Forte V, Levinson H. Otolaryngological and rhinomanometric findings in cystic fibrosis. Am J Rhinol. 1991;5(2):61–65.
    1. Brihaye P, Jorissen M, Clement PAR. Chronic rhinosinusitis in fibrosis (mucoviscidosis) Acta Otorhinolaryngol Belg. 1997;51:323–337. - PubMed
    1. Watelet JB, Cauwenberge PV, Bachert C. The nose in cystic fibrosis. Eur Respir Mon. 2001;18:47–56.
    1. Henriksson G, Westrin KM, Karpati F, Wikström A, Stierna P, Hjelte L. Nasal polyps in cystic fibrosis. Clinical Endoscopic Study with nasal lavage fluid analysis. Chest. 2002;121:40–47. - PubMed
    1. Cimmino M, Cavaliere M, Nardone M, Plantulli A, Orefice A, Esposito V, et al. Clinical characteristics and genotype analysis of patients with cystic fibrosis and nasal polyposis. Clin Otolaryngol. 2003;28:125–132. - PubMed

Uncited Reference

    1. Ramsey B, Richardson MA. Impact of sinusitis in cystic fibrosis. J Allergy Clin Immunol. 1992;90:547–552. - PubMed