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Long-term outcome of facial growth after functional endoscopic sinus surgery
Marcella R Bothwell1, Jay F Piccirillo, Rodney P Lusk
1Division of Pediatric Otolaryngology, Washington University School of Medicine, St Louis, Missouri, USA. bothwellm@health.missouri.com
Insights
Functional endoscopic sinus (FES) surgery in children with chronic rhinosinusitis did not impact facial growth. This study found no significant differences in facial development between surgical and non-surgical groups.
Area of Science:
- Pediatric Otolaryngology
- Craniofacial Development
- Rhinology
Background:
- Chronic rhinosinusitis (CRS) is a common condition in children.
- Functional endoscopic sinus (FES) surgery is a treatment option for pediatric CRS.
- Concerns exist regarding potential effects of FES surgery on facial growth.
Purpose of the Study:
- To investigate the impact of FES surgery on facial growth in pediatric patients with CRS.
- To compare facial development in children who underwent FES surgery versus those who did not.
Main Methods:
- Retrospective, age-matched cohort outcome study.
- Involved 67 children (46 undergoing FES surgery, 21 controls).
- Utilized quantitative anthropometric analysis (12 facial measurements) and qualitative facial analysis by an expert.
Main Results:
- No statistically significant differences in facial growth were observed between the FES surgery group and the control group.
- Both quantitative and qualitative analyses supported the absence of FES surgery's effect on facial development.
- Mean age at follow-up was 13.2 years, indicating sufficient time for growth assessment.
Conclusions:
- FES surgery does not appear to affect facial growth in children with chronic rhinosinusitis.
- Findings provide evidence-based information for physicians counseling parents on FES surgery risks.
- This study addresses a critical question in pediatric otolaryngology regarding surgical interventions and facial development.
Objective:
We sought to determine whether functional endoscopic sinus (FES) surgery performed in children with chronic rhinosinusitis alters facial growth.
Study Design And Setting:
This was a retrospective age-matched cohort outcome study performed at a tertiary care hospital.
Results:
Sixty-seven children participated. There were 46 boys and 21 girls, and the mean age was 3.1 years at presentation and 13.2 years at follow-up. There were 46 children who underwent FES surgery and 21 children who did not undergo FES surgery. Quantitative anthropomorphic analysis was performed using 12 standard facial measurements. A facial plastic expert performed qualitative facial analysis. Both quantitative and qualitative analyses showed no statistical significance in facial growth between children who underwent FES surgery and those who did not undergo FES surgery.
Conclusions:
In this study, there was no evidence that FES surgery affected facial growth.
Significance:
These results will aid physicians when discussing with parents the risks of FES surgery.