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Clinical consensus statement: pediatric chronic rhinosinusitis
Scott E Brietzke1, Jennifer J Shin2, Sukgi Choi3
1Walter Reed National Military Medical Center, Bethesda, Maryland, USA SEBrietzke@msn.com.
Insights
This consensus statement provides expert guidance on diagnosing and managing pediatric chronic rhinosinusitis (PCRS) in children without complex conditions. It offers otolaryngologists evidence-based recommendations for optimal patient care.
Area of Science:
- Otolaryngology
- Pediatric Health
- Clinical Consensus
Background:
- Pediatric chronic rhinosinusitis (PCRS) requires standardized diagnostic and management approaches.
- Expert opinion is crucial for refining current clinical practices.
Framework:
- A modified Delphi method was employed to achieve consensus among otolaryngologists.
- A working definition and scope for PCRS were established for patients aged 6 months to 18 years.
Implementation:
- A 9-member expert panel developed 22 consensus statements after iterative surveys.
- Statements cover PCRS definition, diagnosis, medical treatment, adenoidectomy, and endoscopic sinus surgery.
Implications:
- This consensus statement offers valuable guidance for otolaryngologists managing uncomplicated PCRS.
- It aims to optimize the diagnosis and treatment of PCRS in pediatric patients.
Objective:
To develop a clinical consensus statement on the optimal diagnosis and management of pediatric chronic rhinosinusitis (PCRS).
Methods:
A representative 9-member panel of otolaryngologists with no relevant conflicts of interest was assembled to consider opportunities to optimize the diagnosis and management of PCRS. A working definition of PCRS and the scope of pertinent otolaryngologic practice were first established. Patients of ages 6 months to 18 years without craniofacial syndromes or immunodeficiency were defined as the targeted population of interest. A modified Delphi method was then used to distill expert opinion into clinical statements that met a standardized definition of consensus.
Results:
After 2 iterative Delphi method surveys, 22 statements met the standardized definition of consensus while 12 statements did not. Four statements were omitted due to redundancy. The clinical statements were grouped into 4 categories for presentation and discussion: (1) definition and diagnosis of PCRS, (2) medical treatment of PCRS, (3) adenoiditis/adenoidectomy, and (4) endoscopic sinus surgery (ESS)/turbinoplasty.
Conclusion:
Expert panel consensus may provide helpful information for the otolaryngologist in the diagnosis and management of PCRS in uncomplicated pediatric patients.
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