A study of relationship between sinus diseases and lower respiratory tract infections
Keywords:
Asthma, Bronchitis, Bronchiectasis, Chronic Rhinosinusitis, Sinobronchial SyndromeAbstract
Background - To find out the association between sinus diseases with lower respiratory tract infections.
Methods – The study was conducted on 100 patients, 59 cases with diagnosis of sinusitis were assigned group I, 41 cases with diagnosis of LRTI were assigned group II. All clinical and radiological characteristics were recorded, incidence of sinusitis in various lower respiratory tract infections was studied. Patients diagnosed with sinobronchial syndrome were divided in control and study group, study group was given medical treatment for sinusitis for 15 days. All patients were followed for 3 months. Subjective and objective improvement /worsening of LRTI in both study and control group was recorded.
Results – Out of 18 cases of bronchial asthma, 9 (50%) had coexisting sinusitis. Incidence of sinusitis in bronchiectasis patients was 50%. 11 out of 19 cases of chronic bronchitis had sinusitis (57.89%). It was also observed improvement in lower respiratory tract symptoms was more in study group than in control group ,i.e., 57.14% versus 5.55% on first follow up, 71.43% versus 11.11% on second follow up.
Conclusions- Paranasal sinusitis has been diagnosed frequently in patients who have lower respiratory tract infections and is important precipitating factor in provoking lower respiratory tract infections. Hence there should be a team approach between chest physician and otolaryngologic surgeon and any patient suffering from disease of either airway should be regarded as suffering from ‘Single airway disease’
Downloads
References
Kim HY, So YK, Dhong HJ, Chung SK, Choi DC, Kwon NH, et al. Prevalence of lower airway diseases in patients with chronic rhinosinusitis. Acta Otolaryngol Suppl. 2007;558:110–4. https://doi.org/10.1080/0365523070 1624988.
Canonica GW, Malvezzi L, Blasi F, Paggiaro P, Mantero M, Senna G, et al. Chronic rhinosinusitis with nasal polyps impact in severe asthma patients: evidences from the Severe Asthma Network Italy (SANI) registry. Respir Med. 2020;166: 105947. https://doi.org/10.1016/j.rmed.2020. 105947.
Fokkens WJ, Lund VJ, Hopkins C, Hellings PW, Kern R, Reitsma S, et al. European position paper on rhinosinusitis and nasal polyps 2020. Rhinology. 2020;58(S29):1–464. https://doi.org/10.4193/Rhin20.600.
Ek A, Middelveld RJM, Bertilsson H, Bjerg A, Ekerljung L, Malinovschi A, et al. Chronic rhinosinusitis in asthma is a negative predictor of quality of life: results from the Swedish GA(2)LEN survey. Allergy. 2013;68:1314–21. https://doi.org/10.1111/all.12222.
Guilemany JM, Angrill J, Alobid I, Centellas S, Pujols L, Bartra J, et al. United airways again: high prevalence of rhinosinusitis and nasal polyps in bronchiectasis. Allergy. 2009;64(5):790–7. https://doi.org/10.1111/j.1398-9995. 2008.01892.x.
Somani SN, Kwah JH, Yeh C, Conley DB, Grammer LC, Kern RC, et al. Prevalence and characterization of chronic rhinosinusitis in patients with non-cystic fbrosis bronchiectasis at a tertiary care center in the United States. Int Forum Allergy Rhinol. 2019;9(12):1424–9. https://doi.org/10. 1002/alr.22436.
Handley E, Nicolson CH, Hew M, Lee AL. Prevalence and clinical implications of chronic rhinosinusitis in people with bronchiectasis: a systematic review. J Allergy Clin Immunol Pract. 2019;7(6):2004–12. https://doi.org/ 10.1016/j.jaip.2019.02.026.
Fleming DM, Crombie DL. Prevalence of asthma and hayfever in England and Wales. Br Med J 1987;294:279-83.
Shigehito M, Shigehaw F. Long term effect of submucus turbinectomy in patients with perennial allergic rhinitis. The Laryngoscope 2002;112:805-69.
Rachelefksy GS, Katz RM, Siegel SC. Chronic sinus disease with associated reactive airway disease in children. Pediatrics 1984;73:526-29.
Huang JL, Lin TY, Wang KF. Sinusitis and bronchial asthma in children. Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1995;36(1):20-3.
Ragab A, Clement P, Vincken W. Objective assessment of lower airway involvement in chronic rhinosinusitis. Ann J Rhinol 2004;18(1):15-21.
Pryvchev N, Naidenova A. ‘Rhinosinusitis in children’. Vostn Otolaryng 1977;39:3.
Fedoseev GB, Pluzhnikov MS, Riazantsev SV. Rhinobronchial reflex in patients with bronchial asthma. Ter Arkh 1986;58(4):13-7.
Ferrante ME, Quatela MM, Corbo GM, Pistelli R, Fuso L, Valente S. Prevalence of sinusitis in young asthmatics and its relation to bronchial asthma. Mil Med 1998;163(3):180-3.
Zimmerman B, Gold M. Role of sinusitis in asthma. Pediatrician 1991;18(4):312-6.
Spector SL, Farr RS, Hamett JC. The interface between allergy and Otolaryngology, III G-M. English (ed.) Otolaryngology. A text book Haper and Row; New York : 1976. 291-311.
Matsuno O, Miyazaki E, Takenaka R et al. Links between bronchial asthma and allergic rhinitis in the Oita Prefecture, Japan. J Asthma 2006;43(2):165-7.
Kazuhiro Yatera , Kei Yamasaki , Shingo Noguchi, et al High incidence of sinusitis in asthmatic patients detected by computed tomography European Respiratory Journal 2012 40: P2349
Monterisi N, Tofani S, Testaferrate A et al. The role of sinusitis in allergic asthma in children. Minerva Pediat 1978;30:1577.
Shirahata Y. Correlation between upper airway tract and lower airway tract in the break down of sinobronchiectasis. Nippon Jibiinkoka Gakkai Kaiho 1990;93(12):1991-8.
Xia Yang,1 Yali Xu,1 Jianmin Jin,1 Ruimin Li,1 Xiaofang Liu,1 and Yongchang Sun1,2 Chronic rhinosinusitis is associated with higher prevalence and severity of bronchiectasis in patients with COPD .Int J Chron Obstruct Pulmon Dis. 2017; 12: 655–662.
Van Winkel, Maertens (1958). Cited by Salinger S. The paranasal sinuses. Arch Otology 1961;73:196.
Klobec (1956). Cited by Salinger S. The paranasal sinuses. Arch Otology 1959;69:738.
Zapasnik-Kobierska MH. Paediatric aspects of sinubronchial syndrome. Otolaryngol Pol 1979;33(Suppl):27-32.
Palma-Carlos AG, Branco-Ferreira M, PaIma-Carlos ML. Allergic rhinitis and asthma:more similarities than differences. Allerg Immunol (Paris) 2001;33(6):237-41.
Vinuya RZ. Upper airway disorders and asthma: a syndrome of airway inflammation. Ann Allergy Asthma Immunol 2002;88(4 Suppl 1):8-15.
Demoly P, Rullier-Meyer P, Godard P, Bousquet J, Michel FB. Nasal allergy and asthma : one or two diseases ? Bull Acad Nati Med 2005;189(7):1461-73.
Slavin RG, Cannon RE, Friedman WH et al. Sinusitis and bronchial asthma. J Allergy Clin Immunol 1980;66:250-7.
Phipatanakul CS, Slavin RG, St. Louis. Bronchial asthma produced by paranaal sinustis. Arch Otolaryngol 1974;100:109-12.
Friedman R, AcKcrman M, Wald E. Asthma and bacterial sinusitis in children. J Allergy Clin Immunol 1984;74:185-9.
