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Endoscopic sinus surgery for nasal polyps in children: results
R J Bolt1, N de Vries, R J Middelweerd
1Department of Otorhinolaryngology/Head and Neck Surgery, Free University Hospital, Amsterdam, The Netherlands.
Rhinology
|September 1, 1995
Summary
Functional endoscopic sinus surgery (FESS) effectively treats pediatric nasal polyps, with good subjective outcomes. However, prior surgeries correlate with worse results and higher recurrence rates in children.
Area of Science:
- Otolaryngology
- Pediatric Surgery
Background:
- Nasal polyps in children can cause significant symptoms.
- Functional endoscopic sinus surgery (FESS) is a treatment option.
- Previous surgeries may impact outcomes.
Purpose of the Study:
- To evaluate the efficacy and outcomes of FESS in pediatric patients with nasal polyps.
- To compare outcomes between primary and revision FESS in children.
- To identify factors influencing FESS results in pediatric nasal polyps.
Main Methods:
- Retrospective review of 21 children undergoing 34 FESS operations.
- Pre-operative symptom and finding assessment using rhinoscopy and CT scans.
- Analysis of subjective and objective outcomes, recurrence, and complications.
Main Results:
- Allergies confirmed in 24% of cases.
- 52% of children had prior nasal polyp surgeries, experiencing worse outcomes.
- 77% reported good subjective results with over two years follow-up.
- Poor correlation between subjective and objective findings.
- Minor complications occurred in 9.2% of operated sides.
Conclusions:
- FESS demonstrates good subjective efficacy for pediatric nasal polyps.
- Primary FESS yields better results than revision surgery in children.
- Careful pre-operative assessment is crucial for managing pediatric nasal polyps.
