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KMID : 0438219770140020287
Korea University Medical Journal
1977 Volume.14 No. 2 p.287 ~ p.302
An Epidemiological Study of Chronic Paranasal Sinusitis in School Children


Abstract
During the period from June 1976 to November 1976, an epidemiological study of chronic paranasal sinusitis was done at five geographically different primary* schools. Each school was located in Seoul city, Chung-Ju city (a small city, Chung Buk province), Ae-San county (relatively rich farm area, Chung Nam province), Wha-Cheon county (relatively poor farm area, mountain side, Kang Won province), and Po-Ri (poor farm area, seaside, Si-Heung county, Kyong Ki province), respectively.
Subjects were 1596 children, aging from 9 to 13 years old, male 876, female 720. Their nose were examined by anterior rhinoscopy, and following results were obtained.
1) The incidence of chronic paranasal sinusitis in these school children was 12.2% in general, and in male it was 11.8%. 12.8% in female. There was no significant difference in incidence between two sexes statistically.
2) Geographically, the incidence of chronic sinusitis in a big city, Seoul, was 3.4%, compared with 9.4% of Chung Ju, a small city. This difference in incidence between two urban areas was statistically significant.
In rural areas, the incidence of chronic sinusitis in Wha-Cheon was 15.7%, and 16.1 % in Ae-San, and 19.1% in Po-Ri, but there were no statistical difference in incidence between those rural areas.
Statistically, the incidence in rural areas showed significantly higher than those in urban areas.
3) Among the host factors, such as poor intake amounts of nutritional foods (vitamins and milks), and poor sleeping times, various histories of upper respiratory diseases, seemed to increase the incidence of chronic sinusitis, but the delivery conditions, growing speed after birth and unbalanced diet, seemed to be no influence on the incidence.
4) In socio-circumferential factors, the parent status (healthy or diseases, dead), occupations of parents, numbers of siblings, structures of living houses, had some tendency to influence on the incidence of chronic sinusitis, compared with those factors such as house dusts, noise, and
individual characters.
5) The most frequent subject complains about nose in children were nasal obstruction, nasal discharge, headache and epistaxis, lowering of memory, but 81.3% of these children had no sinusitis findings by rhinoscopy.
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