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[Indications for surgical intervention in occult paranasal sinusitis in the child]
HNO
|July 1, 1985
Insights
Pediatric sinus surgery is uncommon. Follow-up of 17 children with occult sinusitis showed normal X-rays in 68% one year after endoscopy, despite inflammation.
Area of Science:
- Pediatric Otolaryngology
- Rhinosinusitis Research
- Medical Imaging in Children
Context:
- Sinus surgery, including antroscopy, is rarely indicated in pediatric patients.
- Radiological changes in pediatric sinusitis often resolve spontaneously.
- Occult sinusitis with maxillary sinus opacity presents a diagnostic challenge in children.
Purpose:
- To report the follow-up of pediatric patients undergoing sinuscopy for occult sinusitis.
- To evaluate the resolution of radiological findings and inflammatory markers post-endoscopy.
Summary:
- Seventeen children with occult sinusitis and radiologic maxillary sinus opacity underwent sinuscopy.
- Despite observed inflammatory reactions during endoscopy, 68% of patients showed normal X-ray findings one year post-procedure.
- This suggests a high rate of spontaneous resolution in this pediatric population.
Impact:
- Findings question the routine indication of sinus surgery in children with occult sinusitis.
- Highlights the potential for spontaneous resolution, impacting treatment guidelines.
- Emphasizes the need for conservative management and careful follow-up in pediatric rhinosinusitis.
Abstract:
Sinus surgery, including antroscopy, is rarely indicated in children because radiological changes and their histological correlates often disappear spontaneously. In this paper we report the follow up of 17 children who underwent sinuscopy for an occult sinusitis with radiologic opacity of the maxillary sinuses. Even though considerable inflammatory reactions were seen normal x-rays were found in 68% one year after endoscopy.