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Pediatric chronic rhinosinusitis

Hassan H Ramadan1

  • 1Department of Otolaryngology-Head and Neck Surgery, Health Sciences Center, West Virginia University School of Medicine, PO Box 9200, Morgantown, WV, USA. hramadan@hsc.wvu.edu.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|October 30, 2023
PubMed

Insights

Pediatric chronic rhinosinusitis (PCRS) is common and impacts children's quality of life. Diagnosis is improving, and while medical management is key, surgical options like adenoidectomy and endoscopic sinus surgery are evolving.

Area of Science:

  • Otolaryngology
  • Pediatric Pulmonology
  • Allergy and Immunology

Background:

  • Pediatric chronic rhinosinusitis (PCRS) significantly impacts children's quality of life.
  • Accurate diagnosis and management are crucial for effective treatment outcomes.

Purpose of the Study:

  • To provide an updated overview of the diagnosis, differential diagnosis, comorbidities, and management of PCRS.
  • To highlight recent advancements in medical and surgical interventions for PCRS.

Main Methods:

  • A comprehensive review of current evidence-based literature on PCRS was conducted.
  • Analysis focused on diagnostic modalities, etiological factors, and treatment strategies.

Main Results:

  • Diagnostic accuracy for PCRS is improving with tools like nasal endoscopy and CT scanning.
  • Chronic adenoiditis is recognized as a potential independent cause of chronic sinusitis symptoms.
  • Allergic rhinitis and immune deficiencies are key factors in PCRS management.
  • Surgical options, including adenoidectomy and endoscopic sinus surgery, have advanced significantly.

Conclusions:

  • PCRS is a prevalent condition affecting children's quality of life.
  • Medical management, addressing comorbidities, is the primary treatment approach.
  • Accurate diagnosis guides the selection of appropriate surgical interventions when medical management is insufficient.
Abstract

Keywords:
AdenoidectomyChronic adenoiditisChronic rhinosinusitisEndoscopic sinus surgeryPediatric

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