Sinus and Facial Growth After Pediatric Endoscopic Sinus Surgery

Mair, Eric A.; Bolger, William E.; Breisch, Eric

doi:10.1001/archotol.1995.01890050041008

Cited by 125 publications

(80 citation statements)

References 9 publications

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“…It permits better appreciation of the effect of frequent diseases such as sinusitis and other less frequent diseases, e.g., chronic sinusitis, cystic fibrosis [19], eosinophilic granuloma, neurofibromatosis, fibrous dysplasia, and sickle cell anemia on sinus development. Better knowledge of sinus development also provides guidance in planning sinus surgery since it may compromise sinus pneumatization and facial growth [20,21]. Precise anatomic data enhances the safety of functional endoscopic sinus procedures and minimizes complications.…”

Section: Discussionmentioning

confidence: 99%

Paranasal sinuses in children: size evaluation of maxillary, sphenoid, and frontal sinuses by magnetic resonance imaging and proposal of volume index percentile curves

et al. 2002

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Our objective was to establish the age-related 3D size of maxillary, sphenoid, and frontal sinuses. A total of 179 magnetic resonance imaging (MRI) of children under 17 years (76 females, 103 males) were included and sinuses were measured in the three axes. Maxillary sinuses measured at birth (mean+/-standard deviation) 7.3+/-2.7 mm length (or antero-posterior)/4.0+/-0.9 mm height (or cranio-caudal)/2.7+/-0.8 mm width (or transverse). At 16 years old, maxillary sinus measured 38.8+/-3.5 mm/36.3+/-6.2 mm/27.5+/-4.2 mm. Sphenoid sinus pneumatization starts in the third year of life after conversion from red to fatty marrow with mean values of 5.8+/-1.4 mm/8.0+/-2.3 mm/5.8+/-1.0 mm. Pneumatization progresses gradually to reach at 16 years 23.0+/-4.5 mm/22.6+/-5.8 mm/12.8+/-3.1 mm. Frontal sinuses present a wide variation in size and most of the time are not valuable with routine head MRI techniques. They are not aerated before the age of 6 years. Frontal sinuses dimensions at 16 years were 12.8+/-5.0 mm/21.9+/-8.4 mm/24.5+/-13.3 mm. A sinus volume index (SVI) of maxillary and sphenoid sinus was computed using a simplified ellipsoid volume formula, and a table with SVI according to age with percentile variations is proposed for easy clinical application. Percentile curves of maxillary and sphenoid sinuses are presented to provide a basis for objective determination of sinus size and volume during development. These data are applicable to other techniques such as conventional X-ray and CT scan.

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Section: Discussionmentioning

confidence: 99%

Paranasal sinuses in children: size evaluation of maxillary, sphenoid, and frontal sinuses by magnetic resonance imaging and proposal of volume index percentile curves

et al. 2002

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“…The definitions of sinusitis in all its acute, recurrent acute and chronic manifestations have been clearly put forward by leaders in the field (Lund and Kennedy, 1997 There are a few prominent studies opposing the practice of FESS in children and one such study is by Mair E et al (1995) on piglets and FESS specimens from, children. The study showed significant changes in bone growth evaluated by CT imaging although there was no overt defect in facial skeleton.…”

Section: Discussionmentioning

confidence: 99%

Outcome analysis of functional endoscopie sinonasal surgery for paediatric rhinosinusitis using the Lund-Mackay-Kennedy scoring system

et al. 1999

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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.

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“…With regard to the concerns about the potential impact of endoscopic surgery on facial growth, triggered in part by animal experiments [12], both quantitative anthropomorphic and qualitative facial analyses conducted by Bothwell et al in children who had undergone endoscopic sinus surgery, showed no statistical significance in facial growth compared to those who had not, after a mean follow up period of 13.2 years [13]. In addition, despite the relative underdevelopment of the pediatric sinuses, and the proximity of the operated areas to noble structures (i.e.…”

Section: Editorialmentioning

confidence: 99%

Endoscopic Sinus Surgery in Acute and Chronic Pediatric Rhinosinusitis

Petros¹

2016

JOENTR

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Sinus and Facial Growth After Pediatric Endoscopic Sinus Surgery

Cited by 125 publications

References 9 publications

Paranasal sinuses in children: size evaluation of maxillary, sphenoid, and frontal sinuses by magnetic resonance imaging and proposal of volume index percentile curves

Paranasal sinuses in children: size evaluation of maxillary, sphenoid, and frontal sinuses by magnetic resonance imaging and proposal of volume index percentile curves

Outcome analysis of functional endoscopie sinonasal surgery for paediatric rhinosinusitis using the Lund-Mackay-Kennedy scoring system

Endoscopic Sinus Surgery in Acute and Chronic Pediatric Rhinosinusitis

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