“…Although the reported success rate for pediatric ESS ranges from 80 to 93%, pediatric ESS has serious risks; in addition, because children have smaller anatomy, pediatric ESS requires greater technical skill and a more meticulous approach than ESS surgery in adults [7]. When properly performed, the incidence of major complications from ESS in children is less than 1%; however, Goldsmith and Rosenfeld [8] state that the surgery should be performed only by an otolaryngologist experienced in pediatric ESS. Even at tertiary care children's hospital, ESS was not successful in children younger than 3 years of age, and surgical revision was needed for some children who underwent ESS when they were younger than 6 years of age [9].…”