Pediatric endoscopic sinus surgery: Revisited 35 years later

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.