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Pediatric Chronic Rhinosinusitis Management in Rhinologists and Pediatric Otolaryngologists

Daniel M Beswick1, Anna H Messner1, Peter H Hwang1

  • 11 Stanford University School of Medicine, Department of Otolaryngology-Head and Neck Surgery, Stanford, California, USA.

The Annals of Otology, Rhinology, and Laryngology
|August 3, 2017
PubMed

Insights

Pediatric chronic rhinosinusitis management shows similarities between otolaryngology societies, with key differences in oral steroid use and the timing of computed tomography (CT) scans versus adenoidectomy.

Area of Science:

  • Otolaryngology
  • Pediatric Medicine
  • Rhinosinusitis Research

Background:

  • Pediatric chronic rhinosinusitis (PCRS) management varies among specialists.
  • Understanding practice patterns is crucial for guideline development.

Purpose of the Study:

  • To compare PCRS management strategies between the American Rhinologic Society (ARS) and the American Society of Pediatric Otolaryngology (ASPO).

Main Methods:

  • A web-based survey was administered to ASPO members.
  • Data were compared with previously published survey data from ARS members.

Main Results:

  • ARS members were more likely to use oral steroids for initial and maximal medical management.
  • ASPO members more frequently performed adenoidectomy before computed tomography (CT).
  • Both groups commonly performed endoscopic sinus surgery (ESS) for refractory cases with similar extent.

Conclusions:

  • PCRS management is largely consistent between ARS and ASPO members.
  • Differences exist in oral steroid use and the sequence of CT versus adenoidectomy.
  • Management aligns with established consensus statements for pediatric chronic rhinosinusitis.
Abstract

Keywords:
chronicmanagementpediatricrhinosinusitissurvey

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