RT Journal Article SR Electronic T1 Sinonasal disease among patients with primary ciliary dyskinesia: an international study JF ERJ Open Research JO erjor FD European Respiratory Society SP 00701-2022 DO 10.1183/23120541.00701-2022 VO 9 IS 3 A1 Lam, Yin Ting A1 Papon, Jean-François A1 Alexandru, Mihaela A1 Anagiotos, Andreas A1 Armengot, Miguel A1 Boon, Mieke A1 Burgess, Andrea A1 Crowley, Suzanne A1 Dheyauldeen, Sinan Ahmed D. A1 Emiralioglu, Nagehan A1 Erdem Eralp, Ela A1 van Gogh, Christine A1 Gokdemir, Yasemin A1 Gunaydın, Onder A1 Haarman, Eric G. A1 Harris, Amanda A1 Hayn, Isolde A1 Ismail-Koch, Hasnaa A1 Karadag, Bülent A1 Kempeneers, Céline A1 Kim, Sookyung A1 Latzin, Philipp A1 Lorent, Natalie A1 Ozcelik, Ugur A1 Pioch, Charlotte A1 Poirrier, Anne-Lise M.L. A1 Reula, Ana A1 Roehmel, Jobst A1 Yiallouros, Panayiotis A1 on behalf of the EPIC-PCD team A1 Goutaki, Myrofora A1 EPIC-PCD team: A1 Ademhan, Dilber A1 Alexandru, Mihaela A1 Anagiotos, Andreas A1 Armengot, Miguel A1 Benchimol, Lionel A1 Beule, Achim G. A1 Bon, Irma A1 Boon, Mieke A1 Bullo, Marina A1 Burgess, Andrea A1 Calmes, Doriane A1 Casaulta, Carmen A1 Caversaccio, Marco A1 Caversaccio, Nathalie A1 Crestani, Bruno A1 Crowley, Suzanne A1 Dheyauldeen, Sinan Ahmed D. A1 Diepenhorst, Sandra A1 Emiralioglu, Nagehan A1 Eralp, Ela Erdem A1 Ergenekon, Pinar A1 Feyaerts, Nathalie A1 Georgiou, Gavriel A1 Glen, Amy A1 Gogh, Christine van A1 Gokdemir, Yasemin A1 Goutaki, Myrofora A1 Gunaydın, Onder A1 Haarman, Eric G. A1 Harris, Amanda A1 Hayn, Isolde A1 Helms, Simone A1 Hool, Sara-Lynn A1 Honoré, Isabelle A1 Ismail Koch, Hasnaa A1 Karadag, Bülent A1 Kempeneers, Céline A1 Kennelly, Synne A1 Kieninger, Elisabeth A1 Kim, Sookyung A1 Kouis, Panayiotis A1 Lam, Yin Ting A1 Latzin, Philipp A1 Legendre, Marie A1 Lorent, Natalie A1 Lucas, Jane S. A1 Maitre, Bernard A1 McEvoy, Alison A1 Mitri-Frangieh, Rana A1 Montani, David A1 Müller, Loretta A1 Muñoz, Noelia A1 Omran, Heymut A1 Ozcelik, Ugur A1 Ozsezen, Beste A1 Packham, Samantha A1 Papon, Jean-François A1 Pauly, Clara A1 Pioch, Charlotte A1 Poirrier, Anne-Lise M.L. A1 Raidt, Johanna A1 Reula, Ana A1 Rinkel, Rico A1 Roehmel, Jobst A1 Schramm, Andre A1 Thouvenin, Guillaume A1 Walker, Woolf T A1 Wilkins, Hannah A1 Yiallouros, Panayiotis A1 Yumusakhuylu, Ali Cemal A1 Ziegahn, Niklas YR 2023 UL https://publications.ersnet.org//content/9/3/00701-2022.abstract 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