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Follow-up of endoscopic sinus surgery on children with cystic fibrosis
1University of Alberta, Edmonton, Canada.
Insights
Endoscopic sinus surgery in children with cystic fibrosis (CF) does not eliminate sinus disease. However, the procedure offers significant symptomatic relief for nasal issues in pediatric CF patients.
Area of Science:
- Otolaryngology
- Pediatric Pulmonology
- Medical Research
Background:
- Children with cystic fibrosis (CF) invariably experience paranasal sinus disease.
- Endoscopic management of sinus disease in CF may offer therapeutic benefits.
Purpose of the Study:
- To evaluate the efficacy of endoscopic sinus surgery for managing sinus disease in children with cystic fibrosis.
- To assess the long-term outcomes and subjective benefits of the surgical intervention.
Main Methods:
- Ten pediatric patients with CF underwent sinus examinations and computed tomographic (CT) scans in 1987-1988.
- Seven patients proceeded to endoscopic sinus surgery during the same period.
- Follow-up examinations and CT scans were conducted in 1990 to assess disease recurrence or persistence.
Main Results:
- All ten children demonstrated sinus disease on initial CT scans.
- Sinus disease persisted or recurred in all patients by 1990, irrespective of surgical intervention.
- Patients and parents reported subjective benefits from the endoscopic sinus surgery.
Conclusions:
- Endoscopic sinus surgery does not eradicate sinus disease in pediatric patients with cystic fibrosis.
- The procedure provides valuable symptomatic relief for nasal manifestations of the disease in this population.
Abstract:
Children with cystic fibrosis universally have involvement of the paranasal sinuses, and endoscopic management of this sinus disease with its attendant benefits may help them. Ten children with cystic fibrosis underwent examination and computed tomographic scans of their sinuses in 1987 and 1988. All had sinus disease demonstrated and seven went on to undergo endoscopic surgery in the same period. All children had repeated examinations and computed tomographic scans in 1990. All had recurrence or persistence of their sinus disease. However, when the patients and their parents were asked about the subjective value of the surgery all believed there were benefits. I conclude that endoscopic sinus surgery does not eradicate sinus disease in children with cystic fibrosis but that it is of value for symptomatic relief of nasal disease.