Sinusitis in Children: Current Management

Willner, Ayal; Lazar, Rande H.; Younis, Ramzi T.; Beckford, Neal S.

doi:10.1177/014556139407300713

Cited by 6 publications

(34 citation statements)

References 24 publications

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“…Based on a review of the literature, the estimated success rate for FESS in children is 80%. [14][15][16] The range of pediatric patients requiring revision FESS is 8% to 32%. 10,17,18 After revision FESS, the failure rate, based mainly on adult studies, may range from 22% to 30%.…”

Section: Methodsmentioning

confidence: 99%

The Role of Second-Look Nasal Endoscopy After Pediatric Functional Endoscopic Sinus Surgery

Walner

Falciglia²,

Willging³

et al. 1998

Arch Otolaryngol Head Neck Surg

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Section: Methodsmentioning

confidence: 99%

The Role of Second-Look Nasal Endoscopy After Pediatric Functional Endoscopic Sinus Surgery

Walner

Falciglia²,

Willging³

et al. 1998

Arch Otolaryngol Head Neck Surg

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“…One fundamental problem is the lack of agreement about the definition of sinusitis in children (Younis and Lazar, 1990;Willner et al, 1994;Wald, 1995) as it is neither a clinical nor a pathological distinct entity and it is likely that factors as yet unrecognized play a role. 'The primacy of infection as the pathophysiological explanation for continued inflammation of the paranasal sinuses is quite unlikely' (Wald, 1995).…”

Section: Definitionmentioning

confidence: 99%

“…Facial pain and headache are rare symptoms in children with rhinosinusitis (Shapiro and Rachelefsky, 1992). Symptoms and signs are not specific in paediatric sinusitus (Willner et al, 1994).…”

Section: Symptomsmentioning

confidence: 99%

Current concepts in the management of paediatric rhinosinusitis

Jones

1999

J. Laryngol. Otol.

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It is well recognized that adenoid hypertrophy and allergic rhinitis are common in children and that recurrent upper respiratory tract infections are a fact of life. The main causes of symptoms associated with rhinosinusitis in children are rhinorrhoea, nasal obstruction, mouth breathing, hyponasal speech and snoring. Most children grow out of adenoid hypertrophy and recurrent colds by the age of eight to 10 and this means that the main treatment strategy should therefore be conservative and not surgical. An explanation to anxious parents, simple non-invasive measures such as teaching nose-blowing, the use of saline sprays or a trial of allergen avoidance and age-appropriate topical nasal anti-inflammatory sprays should be tried before surgery is even contemplated. Because repeated infections are so common, antibiotics given for chronic nasal discharge often have only short-lived effects.Rhinosinusitis in children is not a surgical disease and ‘watchful waiting’ is advised. Any treatment should first of all be safe, as even without any intervention the problem usually resolves with time. It is likely that growth and maturation of the immunological response to pathogens play a major role in resolution of the disease. There are few exceptions to this principle: nasal polyps (indicating possible cystic fibrosis), and periorbital cellulitis where an assessment of vision, parenteral antibiotics, and if there is concern about the possibility of a subperiosteal abscess, computerized tomography (CT) and drainage of any pus is indicated.

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“…Fixed schedules such as a 3‐week β‐lactamase–resistant antibiotic plus topical steroids are used by some authors. A short course of systemic steroids and a topical vasoconstrictor are added in acute cases for 3 to 5 days by some authors 3 …”

Section: Treatmentmentioning

confidence: 99%

“…37 Immunodeficiencies can increase the incidence of infection with encapsulated organisms. 3 The most common immunodeficiencies in the sinusitis-prone child in decreasing order of incidence are common variable immune deficiency, IgG subclass deficiency, selective antibody deficiency, IgA deficiency, C4 deficiency, X-linked agammaglobulinemia, ataxia telangiectasia, and hyper IgM syndrome. 20 Partial obstruction caused by adenotonsillar hypertrophy may lead to changes in the microenvironment and may foster bacterial growth.…”

Section: Pathophysiology Of Sinus Diseasementioning

confidence: 99%

Pediatric Sinusitis: A Literature Review with Emphasis on the Role of Allergy

Güngör

Corey

1997

Otolaryngol.--head neck surg.

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Evaluation and treatment of pediatric sinusitis is a challenging area that has been subject to many different opinions and options during the past decade. Sinusitis is among the most commonly encountered diseases of childhood and has been the major area of interest for many otolaryngologists, allergists, and pediatricians. We have searched the medical literature to review the many aspects of the problem and the opinions of various authors. The increasing importance of allergic diseases and their relationship to sinus disease have been evaluated through a review of relevant literature. The poorly understood variations of the presentation of sinusitis and its signs and symptoms in the pediatric age group have been reviewed. Recommendations concerning the method, duration, and timing of the therapeutic intervention or interventions are summarized. The natural course of pediatric sinusitis in association with related respiratory tract diseases is discussed. Allergies and viral upper respiratory infections are among the most common predisposing factors of sinus disease. Every child with sinusitis is a candidate for an allergy evaluation.

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Sinusitis in Children: Current Management

Cited by 6 publications

References 24 publications

The Role of Second-Look Nasal Endoscopy After Pediatric Functional Endoscopic Sinus Surgery

The Role of Second-Look Nasal Endoscopy After Pediatric Functional Endoscopic Sinus Surgery

Current concepts in the management of paediatric rhinosinusitis

Pediatric Sinusitis: A Literature Review with Emphasis on the Role of Allergy

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