Sinus and Facial Growth After Pediatric Endoscopic Sinus Surgery

Persistent rhinosinusitis in children after endoscopic sinus surgery

“…Although the effect of ESS on future facial growth in human beings is lacking, data suggesting potential impairment of facial growth by ESS exist in the piglet model. 5 We agree with arguments for conservative treatment of chronic rhinosinusitis in children, as proposed in several recent papers. 4,6,7 In particular, we suggest that endoscopic intervention in the young may result in disappointing outcomes.…”

“…The long‐term efficacy of ESS in children has yet to be demonstrated. Although the effect of ESS on future facial growth in human beings is lacking, data suggesting potential impairment of facial growth by ESS exist in the piglet model 5 . We agree with arguments for conservative treatment of chronic rhinosinusitis in children, as proposed in several recent papers 4 , 6 , 7 .…”

Predictors of Surgical Intervention for Pediatric Acute Rhinosinusitis with Periorbital Infection

“…Medical and surgical management of patients with POC secondary to ABRS is heterogeneous with no clear-cut indications for surgical intervention [8]. In the present study, the operative rates in cases of preseptal orbital cellulitis (2%) and orbital cellulitis (23%) were similar to the typical reported rates of 0-11% and 0-23%, respectively [12]. The one case of an operated Chandler I case and the five cases of operated Chandler II cases commenced intravenous antibiotic therapy more than three days from symptom onset, and all sought medical assistance in the emergency room due to persistent fever.…”

Quantitative Impact of Pediatric Sinus Surgery on Facial Growth

“…For example, in animal studies Verwoerd et al 1 documented that site‐specific injury to the developing septal cartilage in rabbits affected nasal and maxillary growth. Similarly, Mair et al 5 documented by CT scan a significant reduction in facial growth on the operated side of piglets that had undergone endoscopic sinus surgery. With regard to human development, Bernstein 2 demonstrated a higher incidence of midface maldevelopment after cleft palate repair.…”