PT - JOURNAL ARTICLE AU - Yin Ting Lam AU - Jean-François Papon AU - Mihaela Alexandru AU - Andreas Anagiotos AU - Miguel Armengot AU - Mieke Boon AU - Andrea Burgess AU - Suzanne Crowley AU - Sinan Ahmed D. Dheyauldeen AU - Nagehan Emiralioglu AU - Ela Erdem Eralp AU - Christine van Gogh AU - Yasemin Gokdemir AU - Onder Gunaydın AU - Eric G. Haarman AU - Amanda Harris AU - Isolde Hayn AU - Hasnaa Ismail-Koch AU - Bülent Karadag AU - Céline Kempeneers AU - Sookyung Kim AU - Philipp Latzin AU - Natalie Lorent AU - Ugur Ozcelik AU - Charlotte Pioch AU - Anne-Lise M.L. Poirrier AU - Ana Reula AU - Jobst Roehmel AU - Panayiotis Yiallouros AU - on behalf of the EPIC-PCD team AU - Myrofora Goutaki AU - EPIC-PCD team: AU - Dilber Ademhan AU - Mihaela Alexandru AU - Andreas Anagiotos AU - Miguel Armengot AU - Lionel Benchimol AU - Achim G. Beule AU - Irma Bon AU - Mieke Boon AU - Marina Bullo AU - Andrea Burgess AU - Doriane Calmes AU - Carmen Casaulta AU - Marco Caversaccio AU - Nathalie Caversaccio AU - Bruno Crestani AU - Suzanne Crowley AU - Sinan Ahmed D. Dheyauldeen AU - Sandra Diepenhorst AU - Nagehan Emiralioglu AU - Ela Erdem Eralp AU - Pinar Ergenekon AU - Nathalie Feyaerts AU - Gavriel Georgiou AU - Amy Glen AU - Christine van Gogh AU - Yasemin Gokdemir AU - Myrofora Goutaki AU - Onder Gunaydın AU - Eric G. Haarman AU - Amanda Harris AU - Isolde Hayn AU - Simone Helms AU - Sara-Lynn Hool AU - Isabelle Honoré AU - Hasnaa Ismail Koch AU - Bülent Karadag AU - Céline Kempeneers AU - Synne Kennelly AU - Elisabeth Kieninger AU - Sookyung Kim AU - Panayiotis Kouis AU - Yin Ting Lam AU - Philipp Latzin AU - Marie Legendre AU - Natalie Lorent AU - Jane S. Lucas AU - Bernard Maitre AU - Alison McEvoy AU - Rana Mitri-Frangieh AU - David Montani AU - Loretta Müller AU - Noelia Muñoz AU - Heymut Omran AU - Ugur Ozcelik AU - Beste Ozsezen AU - Samantha Packham AU - Jean-François Papon AU - Clara Pauly AU - Charlotte Pioch AU - Anne-Lise M.L. Poirrier AU - Johanna Raidt AU - Ana Reula AU - Rico Rinkel AU - Jobst Roehmel AU - Andre Schramm AU - Guillaume Thouvenin AU - Woolf T Walker AU - Hannah Wilkins AU - Panayiotis Yiallouros AU - Ali Cemal Yumusakhuylu AU - Niklas Ziegahn 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