PT - JOURNAL ARTICLE AU - Lam, Yin Ting AU - Papon, Jean-François AU - Alexandru, Mihaela AU - Anagiotos, Andreas AU - Armengot, Miguel AU - Boon, Mieke AU - Burgess, Andrea AU - Crowley, Suzanne AU - Dheyauldeen, Sinan Ahmed D. AU - Emiralioglu, Nagehan AU - Erdem Eralp, Ela AU - van Gogh, Christine AU - Gokdemir, Yasemin AU - Gunaydın, Onder AU - Haarman, Eric G. AU - Harris, Amanda AU - Hayn, Isolde AU - Ismail-Koch, Hasnaa AU - Karadag, Bülent AU - Kempeneers, Céline AU - Kim, Sookyung AU - Latzin, Philipp AU - Lorent, Natalie AU - Ozcelik, Ugur AU - Pioch, Charlotte AU - Poirrier, Anne-Lise M.L. AU - Reula, Ana AU - Roehmel, Jobst AU - Yiallouros, Panayiotis AU - , AU - Goutaki, Myrofora AU - , AU - Ademhan, Dilber AU - Alexandru, Mihaela AU - Anagiotos, Andreas AU - Armengot, Miguel AU - Benchimol, Lionel AU - Beule, Achim G. AU - Bon, Irma AU - Boon, Mieke AU - Bullo, Marina AU - Burgess, Andrea AU - Calmes, Doriane AU - Casaulta, Carmen AU - Caversaccio, Marco AU - Caversaccio, Nathalie AU - Crestani, Bruno AU - Crowley, Suzanne AU - Dheyauldeen, Sinan Ahmed D. AU - Diepenhorst, Sandra AU - Emiralioglu, Nagehan AU - Eralp, Ela Erdem AU - Ergenekon, Pinar AU - Feyaerts, Nathalie AU - Georgiou, Gavriel AU - Glen, Amy AU - Gogh, Christine van AU - Gokdemir, Yasemin AU - Goutaki, Myrofora AU - Gunaydın, Onder AU - Haarman, Eric G. AU - Harris, Amanda AU - Hayn, Isolde AU - Helms, Simone AU - Hool, Sara-Lynn AU - Honoré, Isabelle AU - Ismail Koch, Hasnaa AU - Karadag, Bülent AU - Kempeneers, Céline AU - Kennelly, Synne AU - Kieninger, Elisabeth AU - Kim, Sookyung AU - Kouis, Panayiotis AU - Lam, Yin Ting AU - Latzin, Philipp AU - Legendre, Marie AU - Lorent, Natalie AU - Lucas, Jane S. AU - Maitre, Bernard AU - McEvoy, Alison AU - Mitri-Frangieh, Rana AU - Montani, David AU - Müller, Loretta AU - Muñoz, Noelia AU - Omran, Heymut AU - Ozcelik, Ugur AU - Ozsezen, Beste AU - Packham, Samantha AU - Papon, Jean-François AU - Pauly, Clara AU - Pioch, Charlotte AU - Poirrier, Anne-Lise M.L. AU - Raidt, Johanna AU - Reula, Ana AU - Rinkel, Rico AU - Roehmel, Jobst AU - Schramm, Andre AU - Thouvenin, Guillaume AU - Walker, Woolf T AU - Wilkins, Hannah AU - Yiallouros, Panayiotis AU - Yumusakhuylu, Ali Cemal AU - Ziegahn, Niklas TI - Sinonasal disease among patients with primary ciliary dyskinesia: an international study AID - 10.1183/23120541.00701-2022 DP - 2023 May 01 TA - ERJ Open Research PG - 00701-2022 VI - 9 IP - 3 4099 - http://openres.ersjournals.com/content/9/3/00701-2022.short 4100 - http://openres.ersjournals.com/content/9/3/00701-2022.full SO - erjor2023 May 01; 9 AB - Background Sinonasal symptoms are a common feature of primary ciliary dyskinesia (PCD); however, literature about their severity and frequency, particularly during the life course, is scarce. Using baseline data from the Ear, nose and throat (ENT) Prospective International Cohort of PCD patients, we describe sinonasal disease in PCD.Methods We included participants who had a routine sinonasal examination during which they completed a symptoms questionnaire. We compared frequency of reported symptoms and examination findings among children and adults, and identified characteristics potentially associated with higher risk of sinonasal disease using ordinal regression.Results 12 centres contributed 384 participants; median age was 16 years (IQR 9–22), and 54% were male. Chronic nasal problems were the most common feature, reported by 341 (89%). More adults (33; 24%) than children (10; 4%) described hyposmia. Quality of life was moderately affected by rhinosinusitis among 136 participants with completed SNOT-22 questionnaires (median score 31; IQR 23–45). Examinations revealed nasal polyps among 51 of 345 participants (15%) and hypertrophic inferior nasal turbinates among 127 of 341 participants (37%). Facial pain was detected in 50 of 342 participants (15%). Nasal polyps, hypertrophic turbinates, deviated septum and facial pain were found more commonly in adults than children. The only characteristic associated with higher risk of sinonasal disease was age 10 years and older.Conclusions Based on our findings, regular sinonasal examinations are relevant for patients with PCD of all ages. There is a need for improved management of sinonasal disease supported by evidence-based guidelines.This study reinforces the importance of regular sinonasal examinations for patients of all ages with PCD and the need to develop evidence-based sinonasal treatments as part of overall PCD management https://bit.ly/3lMcgbo