D2.378 - Exploring the Connection Between Allergic Rhinitis and Sinusitis in Children

Allergic rhinitis is a prevalent condition in children, often associated with other diseases such as sinusitis. This study aims to evaluate the characteristics of allergic rhinitis in children and its correlation with sinusitis and other related conditions. The primary objective is to identify the relationship between seasonal and perennial allergic rhinitis and the incidence of sinusitis, serous otitis media, chronic cough, and postnasal drip in pediatric patients.

A total of 128 children aged 3 to 18 years, consulting at a pediatric ENT department, were included in the study. Patients were divided into two groups based on the type of allergic rhinitis: Intermittent allergic rhinitis and Persistent allergic rhinitis. Systematic clinical examinations were performed, including anterior rhinoscopy, nasal endoscopy, rhinohygrometry, and olfactometry. Detailed anamnesis captured demographic details and symptom frequency. Patients with major septal deviations and other specific conditions were excluded. Microbiological assessments of nasal secretions and imagistic evaluations of paranasal sinuses were conducted.

Among the participants, nasal obstruction and watery rhinorrhea were the most common symptoms, with significant findings of serous otitis media, particularly in younger children (72% prevalence in ages 3-6). Chronic sinusitis was frequently observed, especially in patients with perennial allergic rhinitis. The anterior ethmoidal cells were most commonly affected, followed by the maxillary and frontal sinuses. Purulent sinusitis was notably higher in the older age group (11-18 years), with 24 patients showing unilateral or bilateral involvement.

The study highlights the significant impact of allergic rhinitis on sleep quality and daily life in children. The findings suggest that nasal obstruction and rhinorrhea are key symptoms leading to medical consultation. The correlation between allergic rhinitis and sinusitis emphasizes the need for comprehensive management of allergic conditions to prevent secondary complications.Allergic rhinitis in children is closely associated with sinusitis and other upper respiratory conditions. Early diagnosis and intervention are crucial in managing symptoms and preventing chronic complications. We observe in curent study , the postnasal drip appear in chidren aged between 11-18 years, more predominat.