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Endoscopic sinus surgery in the developmentally delayed child

H H Ramadan1, D Rosen

  • 1Department of Otolaryngology, West Virginia University, Morgantown 26506-9200, USA.

The Laryngoscope
|February 1, 1996
PubMed
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Functional endoscopic sinus surgery (FESS) for pediatric chronic sinusitis in developmentally delayed children can lead to complications. Tailored approaches are recommended, and routine second-look procedures are not advised.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Developmental Pediatrics

Background:

  • Chronic sinusitis is common in children.
  • Functional endoscopic sinus surgery (FESS) is a standard treatment.
  • Developmentally delayed children present unique challenges.

Purpose of the Study:

  • To evaluate the outcomes of FESS in developmentally delayed children with chronic sinusitis.
  • To identify potential complications and necessary modifications in surgical approach.
  • To assess the utility of routine second-look procedures.

Main Methods:

  • Retrospective evaluation of seven developmentally delayed children with chronic sinusitis.
  • Assessment of symptoms including cough, rhinorrhea, and head banging.

Related Experiment Videos

  • Review of treatment response to antibiotics and outcomes of FESS.
  • Analysis of postoperative complications and need for further intervention.
  • Main Results:

    • All seven children had persistent sinusitis unresponsive to antibiotics.
    • Three children experienced significant postoperative respiratory distress, with two requiring reintubation.
    • Two children had difficulty with oral feeding postoperatively.
    • Only two children underwent a second-look procedure due to complicated courses.

    Conclusions:

    • FESS in developmentally delayed children requires a tailored surgical approach.
    • Postoperative complications such as respiratory difficulty and feeding intolerance can occur.
    • Routine second-look procedures after FESS in this population are not recommended.