Related Experiment Video
Updated: Jan 28, 2026
Measurements of Motor Function and Other Clinical Outcome Parameters in Ambulant Children with Duchenne Muscular Dystrophy
Published on: January 12, 2019
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.
Insights
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.
Purpose Of Review:
Pediatric chronic rhinosinusitis (CRS) is a prevalent problem that can elude diagnosis. In addition, given the burgeoning interest in pediatric sinonasal disease, treatment modalities are constantly evolving.
Recent Findings:
The diagnosis of pediatric CRS is primarily based on clinical history and signs supported by objective findings (i.e., nasal endoscopy and/or computed tomography (CT) imaging). Cultures are indicated in patients who have not responded to medical therapy or have significant comorbidities. Nasal saline irrigation, nasal saline spray, and oral antibiotics are currently recommended for initial medical management. In children with CRS who have failed medical therapy, a stepwise approach to surgical intervention can lead to significant improvements in quality of life. This review provides an overview of the current guidelines and recent literature regarding the diagnosis, microbiology, and treatment options of CRS in the pediatric population.
Related Concept Videos
01:24Chronic Kidney Disease II: Clinical Manifestations
01:11Guidelines for Writing Outcome
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
01:30Guidelines for Nursing Documentation I
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
01:23Guidelines for Sketching a Curve
01:26Guidelines for Nursing Documentation II
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
01:06Legal Guidelines for Documentation