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Innovations in Endonasal Sinus Surgery in Children

Sophie G Shay1, Taher Valika2, Robert Chun1

  • 1Medical College of Wisconsin, 9000 West Wisconsin Avenue, ENT Offices Suite 540, Milwaukee, WI 53226, USA.

Otolaryngologic Clinics of North America
|July 30, 2019
PubMed

Insights

Pediatric chronic rhinosinusitis management needs updates despite surgical advances. This review covers endoscopic sinus surgery, balloon sinuplasty, complex cases, and skull base tumor/choanal atresia repair in children.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery

Background:

  • Pediatric chronic rhinosinusitis (CRS) management has lagged behind surgical innovations.
  • Advances in pediatric skull base surgery and tumor removal are notable.

Purpose of the Study:

  • To review current endoscopic sinus surgery (ESS) techniques and risks in children.
  • To discuss balloon sinuplasty, complicated CRS, and skull base tumor/choanal atresia repair in pediatric patients.

Main Methods:

  • Literature review of recent advancements in pediatric endonasal surgery.
  • Synthesis of information on surgical techniques, perioperative care, and outcomes.

Main Results:

  • ESS tools and procedures have advanced, but CRS care requires updates.
  • Balloon sinuplasty shows promise for pediatric sinonasal issues.
  • New insights into skull base tumor surgery and choanal atresia repair exist.

Conclusions:

  • Further research is needed to update pediatric CRS management protocols.
  • Endoscopic techniques offer evolving solutions for pediatric sinonasal and skull base conditions.

Keywords:
AnesthesiaBalloon sinuplastyRhinosinusitisSinus computed tomographySkull baseSubperiosteal abscess

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