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Intranasal ethmoidectomy in nasal polyposis in children. Indications and results
J M Triglia1, P Dessi, M Cannoni
1Department of Otorhinolaryngology, University of Marseille, France.
Insights
Endonasal ethmoidectomy offers effective surgical treatment for nasal polyposis in children, transforming lives and showing encouraging results. This procedure is reliable when specific surgical techniques are followed.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Rhinology
Background:
- Nasal polyposis in children is a rare and challenging condition.
- Medical treatments often yield disappointing results for pediatric nasal polyposis.
- Surgical intervention is considered for severe cases unresponsive to medical management.
Purpose of the Study:
- To evaluate the efficacy and reliability of ethmoidectomy via an endonasal approach for treating nasal polyposis in children.
- To assess surgical outcomes and recurrence rates in pediatric patients undergoing this procedure.
Main Methods:
- A retrospective study involving 39 endonasal ethmoidectomies performed on 24 children (mean age 12 years).
- Patient cohorts included cystic fibrosis, Woakes' syndrome, and isolated nasal polyposis.
- Surgical decisions were based on symptom severity, lack of response to medical treatment, and planned follow-up.
Main Results:
- Twenty-three children were followed for a mean of 3 years post-surgery.
- Complete recurrence of nasal polyposis was observed in 13% of cases (3 children).
- The majority of patients experienced significant life improvements, even with partial recurrence.
Conclusions:
- Endonasal ethmoidectomy is a reliable and effective surgical option for pediatric nasal polyposis.
- Strict adherence to surgical techniques ensures favorable outcomes.
- This approach demonstrates encouraging efficacy compared to alternative therapies for children.
Abstract:
Nasal polyposis in children is a rare pathology that is difficult to treat, with results that are often disappointing. The aim of this paper is focused on the surgical possibilities of ethmoidectomy by endonasal approach. Thirty-nine ethmoidectomies were performed in 24 children with a mean age of 12 years (cystic fibrosis, n = 7; Woakes' syndrome, n = 2; isolated polyposis, n = 15). The decision for surgical treatment was based upon the severity of initial symptoms, principally nasal obstruction, lack of improvement after medical treatment, and the assurance of good surgical follow-up. Twenty-three children were followed up for a mean of 3 years. Complete recurrence was noted in 13% of the cases (n = 3). In all the other cases, including those with partial recurrence, the lives of the children were transformed. Ethmoidectomy by endonasal approach is reliable if the appropriate surgical techniques are strictly followed. It has proven its efficacy in children with nasal polyposis with results that are very encouraging compared to previously proposed therapies.