Rhinosinusitis: prevention strategies

摘要: Risk factors of recurrent sinusitis involve upper respiratory infections, bacterial load the adenoids, day care attendance and exposure to tobacco smoke as well sinonasal abnormalities, including septal deviation, choanal atresia, polyps hypoplasia sinuses. Furthermore, several systemic disorders can facilitate development chronic sinusitis, such allergic rhinitis, gastro-esophageal reflux disease (GER), cystic fibrosis, primary ciliary dyskinesia, immunodeficiency diseases. A clinical practice guideline for management is available only acute disease, but does not include form (i.e. chronic/recurrent sinusitis) even less prevention strategies. As studies indicate that majority children respond sequential medical followed by surgical interventions, when needed, best recurrence or chronicity properly treat sinusitis; in addition, should be removed from larger crowded whenever possible exposed cigarette smoke. If rhinitis co-exists, it managed with nasal steroids sprays anti-histamines, although long-term results are controversial. In case strategy assess cure associated conditions.