Functional endoscopic sinus surgery in children using a limited approach

Archives of Otolaryngology--head & Neck Surgery
Po-Hung ChangTa-Jen Lee

Abstract

To evaluate the efficacy of the limited approach of functional endoscopic sinus surgery (FESS) in pediatric patients with chronic rhinosinusitis (CRS) and to interpret the indications for second-look endoscopy. A retrospective review of medical records of patients who received pediatric FESS between January 1995 and September 2002 and a comprehensive parental questionnaire were used to assess postoperative symptom improvement at a mean postoperative follow-up of 27.2 months after surgery. A university-affiliated medical center. We studied 101 patients who received treatment of pediatric CRS refractory to optimal medical treatment. We analyzed preoperative and postoperative nasal obstruction, purulent rhinorrhea, postnasal drip, headache, hyposmia, and chronic cough. Patients underwent a limited surgical approach of FESS, basically a drainage rather than an extirpation procedure, for the treatment of pediatric CRS refractory to optimal medical treatment. Additionally, 29 patients (28%) underwent second-look endoscopy. The proportions of patients whose symptoms improved were as follows: nasal obstruction, 91%; purulent rhinorrhea, 90%; postnasal drip, 90%; headache, 97%; hyposmia, 89%; and chronic cough, 96%. Of the 101 patients,...Continue Reading

Citations

Jun 28, 2011·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Asser A El SharkawyHesham M Eladl
Oct 10, 2006·Current Allergy and Asthma Reports·Russell W Steele
Oct 1, 2011·International Journal of Pediatric Otorhinolaryngology·Hesham Mohammad EladlMahamad Abu-Samra
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May 5, 2009·Auris, Nasus, Larynx·Ta-Jen LeeChi-Che Huang
Aug 24, 2013·Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology·Alessandro CazzavillanGiovanni Passalacqua
Jan 31, 2013·The Laryngoscope·Chadi A Makary, Hassan H Ramadan
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Jul 15, 2005·Clinical Pediatrics·Russell W Steele
Feb 24, 2019·Current Allergy and Asthma Reports·Zachariah ChandyJivianne T Lee
Oct 7, 2020·JAMA Otolaryngology-- Head & Neck Surgery·Aimee A KennedyCatherine K Hart
Dec 1, 2018·Current Treatment Options in Pediatrics·Lourdes Quintanilla-Dieck, Derek J Lam

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