Services for Paediatric ENT
Allergic rhinitis should be differentiated from chronic rhinosinusitis, allergic fungal sinusitis and allergic polyposis.
Asthma should also be actively looked into.
Approx. 80% of patients with asthma have accompanying symptoms of rhinitis, and up to 60% of the patients with asthma have sinusitis.
Patients with AR were 3 times more likely to subsequently develop Asthma.
Allergic Rhinitis is generally managed by :
- Appropriate medication
- Allergy tests and avoidance measures
- Immunotherapy in selected cases
Chronic sinusitis is evaluated by CT scan during the quiet periods. A very conservative approach is followed as far as children are concerned. The minimum necessary surgical intervention is performed.
In all cases the chest, ears, tonsils and adenoids are evaluated. Inter-relationship between the upper airways, nose and throat cannot be overlooked.