[Intranasal endoscopic treatment of chronic sinusitis in children]

J J Yang1, M Q Xie, G Xu

  • 1Department of Otolaryngology, Third Affiliated Hospital, Sun Yat-Sen University of Medical Sciences, Guangzhou 510630.

Lin Chuang Er Bi Yan Hou Ke Za Zhi = Journal of Clinical Otorhinolaryngology
|February 5, 2003
PubMed

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.
Abstract

Related Concept Videos

Drugs Used in Upper Respiratory Disorders: Overview01:16

Drugs Used in Upper Respiratory Disorders: Overview

Upper respiratory tract disorders, including viral infections and allergic rhinitis, cause significant discomfort and disrupt daily life. Managing these conditions involves a variety of drugs, such as antihistamines, intranasal steroids, decongestants, antitussives, expectorants, and mucolytics. Specific examples of drugs in each category are provided.
Antihistamines (e.g., Benadryl) block histamines from binding. Histamines are chemicals released during an allergic reaction in the body. As a...
Upper Respiratory Drugs: Decongestants01:27

Upper Respiratory Drugs: Decongestants

Decongestants are a class of medications used primarily to alleviate nasal congestion, a common symptom resulting from allergies, colds, sinusitis, and other upper respiratory tract infections. These drugs work by activating α-adrenergic receptors, constricting small blood vessels in the nasal membranes. This action results in the opening of clogged nasal passages, thereby facilitating sinus drainage and relieving congestion.
Most decongestants are readily available over-the-counter in various...
Chronic Pharyngitis01:23

Chronic Pharyngitis

Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Epistaxis01:30

Epistaxis

Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required