There are very few indications for surgical management of chronic rhinosinusitis in children. This has been partly due to the fact that the definition of what qualifies as racalcitrant sinusitis in children is still obscure. There is also significant evidence in literature that surgery, especially radical surgery, on the nose and sinuses in children would result in some interference with the growth of the facio-maxillary skeleton. The advent of Functional Endoscopic sino-nasal Surgery ( F. E. S. S. ) in recent years has changed the philosophy of surgery for paediatric rhinosinusitis and has proven to be an effective choice of management in difficult cases. We persent here our experience and preliminary results with the use of FESS in nine children with sinonasal disorders including cystic fibrosis. The usefulness of the recently described Lurid-mackay and Kennedy Scoring System for chronic rhinosinusitis in terms of symptom score, radiological score, endoscopic score and surgical score has been demonstrated.
In a world dominated by men, Elspeth McKechnie was the first woman doctor to reach air rank in the Royal Air Force when she was promoted to air commodore in 1972 and appointed to run the service's Central Medical Establishment in London. It was the culmination of a distinguished medical career in the RAF, punctuated only by 18 months in the fledgling NHS in 1948-9. During her service career she was in command of RAF Hospital Cosford, senior medical officer at RAF Halton, and registrar at several bases, including RAF Hospital Werberg (in the former West Germany), the Central Medical Establishment, and RAF Hospital Ely. At Ely she had to deal with members of the army, the American air force, and the local civilian population, in addition to RAF personnel. In 1959 she was charged with closing RAF Weeton, near Blackpool, and soon afterwards she wielded the axe at RAF Wilmslow. Over the years McKechnie pursued several different medical interests, including the welfare of young women joining the Women's Royal Air Force, the high prevalence of drink driving among servicemen in West Germany, and malformation of women's feet. The latter proved of particular note in 1948; while preparing medical records for more than 1000 servicewomen facing demobilisation, she found only 10 pairs of perfect feet. Twenty years later she was
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.