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Management of rhinosinusitis in children: consensus meeting, Brussels, Belgium, September 13, 1996
P A Clement1, C D Bluestone, F Gordts
1Department of ENT, Head and Neck Surgery, Free University of Brussels (Vrije Universiteit Brussel), Belgium.
Insights
Pediatric rhinosinusitis is a complex condition influenced by age-related factors. Further research is needed to understand the disease and compare medical and surgical treatments.
Area of Science:
- Pediatrics
- Otolaryngology
- Infectious Diseases
Background:
- Rhinosinusitis in children is a multifactorial condition.
- Predisposing factors for pediatric rhinosinusitis vary with age.
Framework:
- Definitions of pediatric rhinosinusitis forms, symptoms, and signs.
- Guidelines for microbiological, allergic, immunologic, and imaging assessments.
- Standard medical management emphasizing judicious antimicrobial use.
Implementation:
- Review of clinical studies and literature data on pediatric rhinosinusitis.
- Enumeration of main symptoms and signs.
- Discussion of surgical indications.
Implications:
- Highlights the need for a better understanding of pediatric rhinosinusitis.
- Recommends controlled comparative evaluations of medical and surgical therapies.
- Emphasizes the multifactorial nature of the disease and age-dependent predisposing factors.
Objectives:
To (1) provide definitions for the different forms of pediatric rhinosinusitis, with an enumeration of the main symptoms and signs; (2) provide indications for microbiological, allergic, and immunologic assessment as well as for imaging studies; (3) suggest standard medical management with judicious use of antimicrobial agents; and (4) discuss indications for surgery.
Data Sources:
Clinical studies and literature data relevant to the different topics of pediatric rhinosinusitis.
Conclusions:
Rhinosinusitis in children is a multifactorial disease in which the importance of several predisposing factors changes with increasing age. Continued study to obtain a better understanding of the disease and carefully controlled comparative evaluations of medical and surgical therapies are suggested.
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