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Published on: January 17, 2018
[Intranasal endoscopic treatment of chronic sinusitis in children]
1Department of Otolaryngology, Third Affiliated Hospital, Sun Yat-Sen University of Medical Sciences, Guangzhou 510630.
Insights
Endoscopic sinus surgery (ESS) effectively treats pediatric chronic sinusitis, with 87.1% of patients showing improvement or cure. Postoperative care is crucial for sustained positive outcomes in children.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Rhinology
Context:
- Chronic sinusitis and nasal polyps significantly impact children's quality of life.
- Endoscopic sinus surgery (ESS) is a treatment option for pediatric sinonasal diseases.
- Limited data exists on ESS efficacy and influencing factors in pediatric populations.
Purpose:
- To evaluate the effectiveness of endoscopic sinus surgery (ESS) for treating chronic sinusitis in children.
- To identify factors influencing surgical outcomes in pediatric patients undergoing ESS.
- To assess the safety profile of ESS in this demographic.
Summary:
- A retrospective analysis of 31 children (median age 10 years) who underwent ESS for chronic sinusitis or nasal polyps was conducted.
- The overall effective rate was 87.1%, with 38.7% completely cured and 48.4% improved, with no severe complications.
- Key findings indicate ESS is a safe and effective intervention for pediatric chronic sinusitis and nasal polyps.
Impact:
- Demonstrates the significant therapeutic value of ESS in managing pediatric chronic sinusitis.
- Highlights the importance of diligent postoperative endoscopic care and medication for optimizing long-term results.
- Provides evidence supporting ESS as a viable surgical option for improving sinonasal health in children.
Objective:
To explore the curative effect of endoscopic sinus surgery (ESS) and the factors associated with surgery effect for treating children with chronic sinusitis.
Method:
Thirty-one children with a median age of 10 years (range 5-14 years) who suffered from chronic sinusitis or/and nasal polyps and were operated via ESS from May 1996 to January 1999 were retrospectively analyzed.
Result:
According to the therapeutic evaluation standard (ESS-1997, Haikou), twelve cases (38.7%) were completely cured, fifteen cases (48.4%) were improved and four children (12.9%) showed no change with a general effective rate of 87.1% without any severe operative complication.
Conclusion:
The results suggested ESS is a safe and effective method in the treatment of children with chronic sinusitis or/and nasal polyps. Furthermore, meticulous postoperative endoscopic care and medication are also important for securing optimal long-term results.
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