Pediatria pre prax 6/2024
Primary ciliary dyskinesia and its otorhinolaryngological manifestation
Objective: To evaluate the clinical condition of patients diagnosed with primary ciliary dyskinesia (PCD) from an otorhinolaryngological perspective, assess the occurrence of symptoms in the upper respiratory tract, and review previous care, including surgical interventions. Methods: A retrospective analysis was conducted on medical records of 22 patients diagnosed with PCD at the Children’s Faculty Hospital in Bratislava from 2007 to July 2016. Clinical symptoms, ENT examination findings, and diagnostic approaches were evaluated. Additionally, the quality of life of patients was assessed using the SF-36 questionnaire. Results: Most patients presented with chronic rhinitis, sinusitis, and recurrent otitis media. Chronic respiratory symptoms persisted despite treatment, emphasizing the need for specialized diagnostic centers. SF-36 outcomes indicated reduced quality of life, significantly impacted by persistent ENT-related complications. Conclusion: Early diagnosis and tailored management of PCD are crucial to improving patient outcomes. This study highlights the vital role of otorhinolaryngologists in early detection and comprehensive care of PCD patients. Improved diagnostic protocols and multidisciplinary approaches are recommended.
Keywords: primary ciliary dyskinesia, children, quality of life
