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Sinus and Upper Airway Surgery in Children.
Chadi A Makary1, Hassan H Ramadan2
1WVU Medicine Ear Nose and Throat Associates, West Virginia University Medicine, 200 Foundation Way Suite 3200, Martinsburg, WV, 25401, USA. chadi.makary@wvumedicine.org.
Current Allergy and Asthma Reports
|April 27, 2018
Summary
This review examines surgical treatments for chronic sinus and upper airway disease in children. While adenoidectomy, balloon catheter sinuplasty, and endoscopic sinus surgery are safe, their variable effectiveness necessitates further research for optimal patient benefit.
Area of Science:
- Pediatric Otolaryngology
- Rhinology
- Pediatric Airway Diseases
Background:
- Chronic sinus and upper airway disease is a prevalent pediatric condition.
- Complex pathophysiology leads to diverse treatment strategies.
- Current literature on surgical interventions requires synthesis.
Purpose of the Study:
- To review current literature and evidence regarding surgical treatments for pediatric chronic sinus and upper airway disease.
- To evaluate the safety and effectiveness of various surgical modalities.
- To identify gaps in evidence and guide future research.
Main Methods:
- Systematic review of existing literature.
- Analysis of evidence on medical versus surgical treatments.
- Comparison of adenoidectomy, balloon catheter sinuplasty (BCS), and endoscopic sinus surgery (ESS).
Main Results:
- Medical management (antibiotics, nasal sprays) remains first-line therapy.
- Surgical options include adenoidectomy, BCS, and ESS, all demonstrating safety.
- Effectiveness of surgical interventions is highly variable, with limited high-level evidence.
Conclusions:
- While surgical options for pediatric chronic sinus and upper airway disease are safe, their variable efficacy requires careful consideration.
- Higher levels of evidence are needed to guide the selection of optimal surgical treatments.
- Further research is crucial for personalized treatment approaches and improved patient outcomes.
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