Rhinosinusites récidivantes de l’enfant : quel bilan ?

Childhood rhinosinusitis is a frequent motive for consulting a physician. Given its recurrent character, the patient should be assessed for intrinsic as well as environmental factors. Intrinsic factors to search for include adenoid hypertrophy, allergies, gastroesophageal reflux, diabetes, immunity deficiency, a ciliary disorder, and cystic fibrosis. Among the environmental factors, passive smoking should be discouraged; community living, repeated viral infections, and pollution have also been implicated.