(1010) Correlation Between Symptoms and CT Findings in Children With Chronic Sinusitis

Introduction: Sinusitis, in other words inflammation of the paranasal sinuses, is a term pertaining to the group of diseases with a common feature of an inflammatory state that covers the mucosa of the nose and nasal sinuses. Aim of this study was to evaluate the progression in inflammation of the nasal sinuses among patients eligible for an operative treatment for chronic sinusitis (CRS), and attempt to define factors having a decisive effect on the development of the sinuses’ chronic inflammatory state in children.

Methods: Patients with a chronic inflammation of the paranasal sinuses, eligible for a surgery at the Clinic for Pediatric Otolaryngology, Phoniatrics and Audiology of the University Pediatric Hospital in Lublin between January 2012 and December 2017, were included in the study. An eligibility for the surgery was based on the symptoms and the sinus CT scans. Based on the Lund-MacKay scale (LMS), the assessment of the progression within sinuses’ inflammatory lesions was made using CT scans.

Results: Inclusion and exclusion criteria were met by 73 patients (including 33 girls and 40 boys) aged between 5 and 17 years (mean 13.2 ± 2.8 years, median 14 years). The most often CRS symptom reported by guardians was chronic rhinitis observed in 64 (87.7%) patients. The magnitude of inflammatory lesions in the LMS ranged from 2 up to 19 (mean 7.5 ± 4.3). Based on the statistical analysis, it was found that the greater the number of reported disease-related symptoms, the significantly higher the level of inflammatory lesions in sinus CT scans (rho = 0.41; p < 0.001), expressed as a score in the LMS scale. A score ± 5 points in the LMS, constituting a cut-off point for lesions characteristic of CRS, was recorded in 54 (74%) patients.

Conclusions: A correlation was found between the severity of symptoms and computed tomography scan of the paranasal sinuses in patients with CRS.