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Pediatric endoscopic sinus surgery: Revisited 35 years later.

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Pediatric endoscopic sinus surgery (PESS) has advanced significantly over 35 years, becoming a key treatment for pediatric sinus disorders. This review examines PESS evolution, focusing on improved outcomes and patient-centered care in pediatric otolaryngology.

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Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Rhinology

Background:

  • Pediatric endoscopic sinus surgery (PESS) has evolved over 35 years.
  • Management of pediatric chronic rhinosinusitis (PCRS) has shifted towards comprehensive guidelines and refined surgical indications.
  • PESS is now a cornerstone in treating pediatric sinus disorders.

Purpose of the Study:

  • To review the evolution and impact of PESS in pediatric sinus disorder management.
  • To highlight advancements in medical and surgical treatments for PCRS.
  • To analyze changing practice patterns and outcomes of PESS.

Main Methods:

  • Retrospective analysis of PESS utilization and outcomes.
  • Review of recent literature on pediatric sinus disorder treatments.
  • Examination of practice patterns, including adenoidectomy and selective PESS.

Main Results:

  • PESS has become a refined intervention for pediatric sinus disorders.
  • Advancements in diagnostics and less invasive procedures have influenced PESS application.
  • Selective PESS is used for refractory cases, with emphasis on efficacy and symptom alleviation.

Conclusions:

  • Ongoing innovation and research are crucial for refining PESS techniques.
  • Collaborative efforts aim to expand treatment options for pediatric sinus disorders.
  • The ultimate goal is to provide safe, effective, and patient-centered care, enhancing children's quality of life.