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Chapter 5: Pediatric rhinosinusitis: Definitions, diagnosis and management-An overview

Swapna K Chandran, Thomas S Higgins

    American Journal of Rhinology & Allergy
    |October 13, 2017
    PubMed

    Insights

    Pediatric rhinosinusitis diagnosis and management differ from adults. This review covers definitions, diagnostic criteria, and treatment for sinusitis in children, highlighting multifactorial causes in chronic cases.

    Area of Science:

    • Pediatrics
    • Otolaryngology
    • Infectious Diseases

    Background:

    • Rhinosinusitis is prevalent in children, yet distinct from adult presentations.
    • Diagnostic and management strategies for pediatric rhinosinusitis require specific consideration.
    • Guidelines exist for diagnosing pediatric rhinosinusitis, differentiating acute infectious from chronic multifactorial cases.

    Purpose of the Study:

    • To outline definitions, diagnostic criteria, and management approaches for pediatric rhinosinusitis.
    • To differentiate between acute and chronic sinusitis in the pediatric population.
    • To discuss potential complications of rhinosinusitis in children.

    Main Methods:

    • Review of existing multidisciplinary guidelines for pediatric rhinosinusitis.
    • Synthesis of information on diagnostic criteria and management strategies.
    • Analysis of the etiological differences between acute and chronic pediatric sinusitis.

    Main Results:

    • Pediatric rhinosinusitis diagnosis and management protocols vary from adult care.
    • Acute rhinosinusitis is primarily infectious, while chronic sinusitis has multifactorial origins.
    • Established criteria aid in the diagnosis of sinusitis in children.

    Conclusions:

    • Effective management of pediatric rhinosinusitis requires understanding its unique characteristics.
    • Differentiating acute infectious from chronic multifactorial sinusitis is key for appropriate treatment.
    • Awareness of potential complications is crucial for comprehensive pediatric sinusitis care.

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