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2013, Número 2

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Alerg Asma Inmunol Pediatr 2013; 22 (2)


Manejo de rinosinusitis crónica en niños

Sacre-Hazouri JA, Sacre GL, Rodríguez PN

Idioma: Ingles.
Referencias bibliográficas: 76
Paginas: 61-69
Archivo PDF: 194.95 Kb.


RESUMEN

Rinosinusitis crónica ( CRS ) suele manifiestarse de forma diferente en niños que en adultos. Presenta diferente etiología y nos obliga a estrategias diferentes diagnósticas y terapéuticas. Adultos con CRS presentan un mayor componente inflamatorio, mientras que en los niños predomina el componente infeccioso, quizá debido a inmadurez de su sistema inmune, una mayor incidencia de infecciones virales de la vía aérea superior. menor tamaño del ostium sinusal y mayor incidencia de hipertrofia adenoidea. La concentración de eosinófilos en la mucosa de los adultos es mayor que en la de los niños. Existe mayor grado de depósito de colágeno y expansión de glándulas mucosas en la submucosa en adultos, indicando mayor remodelación y potencialmente mayor daño irreversible. Inmunodeficiencias, fibrosis quística y diskinesia ciliar son más frecuentes en la infancia. Siendo la CRS un síndrome multifactorial, nos obliga obtener una historia clínica detallada, así como un examen fisico completo que incluya endoscopia de la via aérea superior y que evalúe integramente cada caso de forma individual.


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