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Clinical Guidelines on Chronic Rhinosinusitis in Children
Zachariah Chandy1, Elisabeth Ference2, Jivianne T Lee3
1Department of Head and Neck Surgery, David Geffen School of Medicine at University of California Los Angeles, 10833 Le Conte Ave, CHS 62-237, Los Angeles, CA, 90095, USA. zchandy@mednet.ucla.edu.
Current Allergy and Asthma Reports
|February 24, 2019
Summary
Pediatric chronic rhinosinusitis (CRS) diagnosis relies on clinical signs and objective tests. Effective treatments range from saline irrigation and antibiotics to surgery for refractory cases, improving children's quality of life.
Area of Science:
- Otolaryngology
- Pediatric Pulmonology
- Allergy and Immunology
Background:
- Pediatric chronic rhinosinusitis (CRS) is a common condition that poses diagnostic challenges.
- Interest in pediatric sinonasal diseases is growing, leading to evolving treatment strategies.
Purpose of the Study:
- To review current guidelines and recent literature on the diagnosis, microbiology, and treatment of pediatric CRS.
- To provide an overview of evolving treatment modalities for pediatric sinonasal disease.
Main Methods:
- Literature review of current guidelines and recent studies on pediatric CRS.
- Analysis of diagnostic criteria, including clinical history, physical examination, nasal endoscopy, and CT imaging.
- Evaluation of microbiological findings and treatment approaches, encompassing medical and surgical interventions.
Main Results:
- Diagnosis of pediatric CRS integrates clinical history, signs, and objective findings like nasal endoscopy or CT scans.
- Cultures are recommended for patients with refractory disease or comorbidities.
- Initial medical management includes nasal saline irrigation, sprays, and oral antibiotics.
- Stepwise surgical intervention can significantly improve quality of life in children with CRS unresponsive to medical therapy.
Conclusions:
- Accurate diagnosis of pediatric CRS is crucial for effective management.
- A combination of medical and, when necessary, surgical treatments can optimize outcomes for children with CRS.
- Ongoing research and evolving guidelines are essential for advancing the care of pediatric sinonasal conditions.
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