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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas

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Pediatric chronic sinusitis: diagnosis and management.

Marshall Ge¹, Derek H Liu², Elisabeth H Ference¹

¹Caruso Department of Otolaryngology-Head and Neck Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA.

Current Opinion in Otolaryngology & Head and Neck Surgery

|December 27, 2021

Summary

Recent advances in pediatric chronic sinusitis management include balloon catheter dilation (BCD) as a surgical option and biologics for medical therapy. Further research is needed to establish optimal indications for these treatments.

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Area of Science:

Otolaryngology
Pediatric medicine
Rhinosinusitis research

Background:

Pediatric chronic sinusitis diagnosis and management have evolved.
Recent advancements impact both surgical and medical treatment approaches.

Purpose of the Study:

To review the diagnosis and management of pediatric chronic sinusitis.
To highlight recent advances in surgical and medical therapies.

Main Methods:

Literature review of recent advancements in pediatric chronic sinusitis.
Analysis of new surgical techniques like balloon catheter dilation (BCD).
Evaluation of emerging medical therapies, including biologics.

Main Results:

Balloon catheter dilation (BCD) is a safe adjunct or alternative to traditional endoscopic sinus surgery in children.
Efficacy of BCD compared to maxillary sinus irrigation or traditional surgery requires further study.
Biologics show promise as adjuncts in medical therapy for pediatric chronic sinusitis.

Conclusions:

New advances like BCD and biologics offer potential benefits in pediatric chronic sinusitis treatment.
Optimal indications for BCD and biologics within the treatment continuum need further research.
Continued research is essential to refine the management strategies for pediatric chronic sinusitis.