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Our experience with FESS in children
R Risavi1, I Klapan, J Handzić-Cuk
1Department of Otorhinolaryngology, Medical Faculty, Zagreb, Croatia. kim@sirius.phy.ht
International Journal of Pediatric Otorhinolaryngology
|July 15, 1998
Summary
This study evaluated surgical outcomes in 50 children for various pediatric rhinosinusitis conditions. Post-operative complications like synechiae and recurrent polyposis occurred in a subset of patients with nasal polyposis.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Rhinosinusitis Research
Background:
- Pediatric rhinosinusitis encompasses diverse conditions requiring surgical intervention.
- Indications include complications of acute rhinosinusitis, foreign bodies, polyps, and chronic rhinosinusitis.
Purpose of the Study:
- To analyze surgical outcomes in children treated for various sinonasal conditions.
- To identify the incidence of post-operative complications in specific pediatric patient groups.
Main Methods:
- A cohort of 50 children (ages 7-15) underwent surgery for rhinosinusitis-related conditions between 1993-1996.
- Preoperative treatment included CT imaging, corticosteroids, Fluticasone Propionate, and antibiotics.
- Surgical procedures were performed under endotracheal anesthesia with induced hypotension.
Main Results:
- Among 15 patients with nasal polyposis or antrochoanal polyps, complications included synechiae (4 cases), recurrent polyposis (2 cases), and recurrent antrochoanal polyps (2 cases).
- Specific complication rates for other indications (periorbitis, foreign bodies, cystic fibrosis-related polyposis, chronic rhinosinusitis) were not detailed in the abstract.
Conclusions:
- Surgical intervention for pediatric sinonasal conditions carries a risk of post-operative complications, particularly in cases of nasal polyposis.
- Further research is needed to optimize surgical techniques and management strategies for pediatric rhinosinusitis.