ĐẶC ĐIỂM LÂM SÀNG VÀ HÌNH ẢNH NỘI SOI TRONG VIÊM MŨI XOANG CẤP Ở TRẺ EM TẠI BỆNH VIỆN TAI MŨI HỌNG TRUNG ƯƠNG NĂM 2024

Abstract

Objective: To describe the clinical and endoscopy characteristics of acute rhinosinusitis in children at the National Otorhinorarynology Hospital of   Vietnam. Subjects and methods: A descriptive study on pediatric patients who were examined and diagnosed with acute rhinosinusitis from October 2024 to December 2024. Result: The less than or equal 5 years old group accounted for the highest proportion (56.6%), while the least occurrence was children aged from 11 to under 16 years old (15.1%). The average age was 5.18 years, with a male-to-female ratio of 1.3/1. Most patients sought medical consultation primarily for rhinorrhea (54.7%) and nasal congestion (24.5%). The most common secondary symptoms in pediatric patients were adenoiditis (39.6%) and otitis media (30.2%). Rhinorrhea was observed in 86.8% of patients in the study, with purulent green nasal discharge being predominant (43.5%). Nasal congestion and cough followed, with respective rates of 75.5% and 73.6%. Moderate nasal congestion was the most prevalent (67.5%), while only one patient suffered from severe congestion, making up for 2.5%. Conclusion: The most common symptoms of acute rhinosinusitis in children include rhinorrhea (87%), nasal congestion (75%), and cough (74%). Additionally, pediatric patients may experience other symptoms such as fever, sniffling, and sneezing, which can affect daily activities. Rhinorrhea is often characterized by purulent discharge, indicating an infection within the nasal sinuses. Nasal congestion is typically of moderate severity and is one of the primary symptoms that required medical consultation