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Outcome of reflux therapy on pediatric chronic sinusitis

M R Bothwell1, D S Parsons, A Talbot

  • 1Division of Otolaryngology, University of Missouri-Columbia, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|September 3, 1999
PubMed

Insights

Treating gastroesophageal reflux in children with chronic sinusitis significantly reduced the need for sinus surgery. This study suggests evaluating reflux before considering surgical intervention for pediatric sinusitis.

Area of Science:

  • Pediatric Otolaryngology
  • Gastroenterology

Background:

  • Pediatric chronic sinusitis is complex, with nasal edema often being the initial issue.
  • Gastroesophageal reflux is a potential contributing factor to pediatric sinusitis.

Purpose of the Study:

  • To investigate gastroesophageal reflux as a potential cause of pediatric chronic sinusitis.
  • To assess the efficacy of reflux therapy in managing pediatric sinusitis symptoms.

Main Methods:

  • Retrospective evaluation of 30 pediatric patients with chronic sinusitis.
  • Assessing patient response to reflux therapy regarding sinus symptoms and surgical avoidance.

Main Results:

  • 89% (25 of 28) of children successfully avoided sinus surgery after reflux treatment.
  • Two children were excluded due to requiring surgery for unrelated reasons.

Conclusions:

  • Reflux treatment dramatically decreased the requirement for sinus surgery in pediatric patients.
  • Gastroesophageal reflux should be considered and treated prior to surgical intervention for pediatric sinusitis.
Abstract

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