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[Nasal polyposis in children. Diagnostic and therapeutic problems]
1Unité d'Otorhinolaryngologie pédiatrique, Hôpital de la Timone, Marseille.
Annales De Pediatrie
|October 1, 1992
Summary
Nasal polyposis in children is challenging to treat. Endonasal ethmoidectomy offers effective symptom resolution and satisfactory outcomes in most pediatric cases, with low recurrence rates.
Area of Science:
- Otolaryngology
- Pediatric Surgery
Context:
- Nasal polyposis is rare in children and can be associated with other conditions.
- Current treatments for pediatric nasal polyposis are often difficult and yield poor results.
Purpose:
- To review diagnostic challenges of nasal polyposis in children.
- To analyze current surgical approaches for pediatric nasal polyposis.
Summary:
- Twenty-seven pediatric patients (mean age 12) with nasal polyposis underwent endonasal ethmoidectomy.
- 12 patients had polyposis linked to cystic fibrosis or Woakes disease; 15 had idiopathic polyposis.
- Recurrence was observed in 15% complete and 8% partial cases; most patients experienced symptom resolution and satisfactory outcomes.
Impact:
- Endonasal ethmoidectomy provides effective symptom relief for pediatric nasal polyposis.
- The study reviews etiopathogenic aspects and tailored therapeutic approaches based on associated syndromes.