한의치료로 호전된 비중격만곡증을 동반한 만성 비부비동염 소아 환자 증례보고 1례

Abstract

Objectives This study reports the case of a child with chronic rhinosinusitis accompanied by nasal septal deviation who was treated with Korean medicine. Methods An eight-year-old patient diagnosed with chronic rhinosinusitis and nasal septal deviation, who visited the Department of Korean Pediatrics at the Daejeon Korean Medicine Hospital of Daejeon University from April 18, 2024 to August 17, 2024, was prescribed Gami-Hyunggyeyeungyotang and underwent Korean medicine treatment. Changes in the degree of nasal septal deviation and nasal symptoms before and after treatment were observed via X-ray (Water’s view). Results After four months of treatment, X-ray (Water’s view) showed straightening of the nasal septum. The visual analog scale (VAS) score for nasal obstruction decreased from 8 at baseline to 4 at the end of the treatment, indicating a clinically meaningful improvement. Other nasal symptoms, including maxillary sinusitis, were also resolved or improved. No adverse events or treatment-related complications were reported throughout the treatment period. During the year of follow-up, recurrence of severe nasal septal deviation was not observed on endoscopic examination, and both nasal cavities generally maintained a balanced size with a stable mucosal condition. Conclusions This case suggests that Korean medical treatment may offer therapeutic benefits to pediatric patients with chronic rhinosinusitis, nasal septal deviation, and the accompanying symptoms.