Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-28T06:58:10.580Z Has data issue: false hasContentIssue false
  • English
  • Français

Surgical management of paediatric chronic rhinosinusitis: review of 10 years' experience

Published online by Cambridge University Press:  26 February 2014

M Barakate  and
T Havas
M Barakate*
Affiliation:
Auburn Hospital, Department of Otolaryngology, University of Notre Dame, Sydney, Australia
T Havas
Affiliation:
Prince of Wales Hospital, Department of Otolaryngology, University of New South Wales, Sydney, Australia
*
Address for correspondence: Associate Prof M Barakate, PO Box 628, Randwick, NSW 2031, Australia Fax: +61 2 8090 3734 E-mail: barakate@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To assess the outcome of children with chronic rhinosinusitis who were managed surgically, over a 10-year study period.

Method:

From January 1999 to December 2008 inclusive, 136 children diagnosed with chronic rhinosinusitis underwent surgery following unsuccessful medical treatment. The operations ranged from adenoidectomy to functional endoscopic sinus surgery.

Results:

The surgical procedures performed were: adenoidectomy (n = 69), antral washouts (n = 54), middle meatal antrostomy (n = 82), endoscopic ethmoidectomy (n = 66), nasal septal reconstruction (n = 10), and inferior turbinate outfracture (n = 23) or inferior turbinate reductions (n = 55). Follow-up duration ranged from 6 months to 9 years (average 3.2 years). Three patients required revision surgery: adenoidectomy in two patients and adenoidectomy with turbinate reductions in another.

Conclusion:

This study demonstrates the benefits of focused surgical treatment for paediatric chronic rhinosinusitis. Surgical treatment can be an appropriate and effective option for children with chronic rhinosinusitis when medical management is unsuccessful.

Keywords

PediatricsSinusitisParanasal Sinus DiseasesNasal PolypsSurgeryTreatment
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 128 , Issue S2 , July 2014 , pp. S43 - S47
Copyright
Copyright © JLO (1984) Limited 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Rudmik, L, Soler, ZM, Orlandi, RR, Stewart, MG, Bhattacharyya, N, Kennedy, DW et al. Early postoperative care following endoscopic sinus surgery: an evidence-based review with recommendations. Int Forum Allergy Rhinol 2011;1:417–30Google Scholar
2Stammberger, H, Posawetz, W. Functional endoscopic sinus surgery. Eur Arch Otorhinolaryngol 1990;247:63–76Google Scholar
3Shehab, Z, Dowell, M, Pahor, AL. Antral washout with nasal polypectomy: should both be combined? Rhinology 1994;32:68–70Google ScholarPubMed
4Kamau, JK, Macharia, IM, Odhiambo, PA. Bacteriology of chronic maxillary sinusitis at Kenyatta National Hospital, Nairobi. East Afr Med J 2001;78:343–5Google Scholar
5Pang, YT, Willatt, DJ. Do antral washouts have a place in the current management of chronic sinusitis? J Laryngol Otol 1996;110:926–8CrossRefGoogle ScholarPubMed
6Ramadan, HR, Terrell, AM. Balloon catheter sinuplasty and adenoidectomy in children with chronic sinusitis. Ann Otol Rhinol Laryngol 2010;119:578–82CrossRefGoogle Scholar
7Hamilos, DL. Chronic rhinosinusitis: epidemiology and medical management. J Allergy Clin Immunol 2011;128:693–707CrossRefGoogle ScholarPubMed
8Makary, CA, Ramadan, HH. The role of sinus surgery in children. Laryngoscope 2013;123:1348–52CrossRefGoogle ScholarPubMed
9Lieser, JD, Derkay, CS. Paediatric sinusitis: when do we operate? Curr Opin Otolaryngol Head Neck Surg 2005;13:60–6CrossRefGoogle ScholarPubMed
10Zhou, B, Wang, S, Li, L, Shi, X. Evaluation of the medical and surgical treatment of pediatric chronic rhinosinusitis [in Chinese]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2011;25:213–16Google Scholar
11Bublik, M, Herman, B, Younis, R. Functional endoscopic sinus surgery. Oper Tech Otolaryngol Head Neck Surg 2009;20:167–71Google Scholar
12Friedman, RL. Chronic sinusitis in children: a general overview. S Afr Fam Pract 2011;53:230–9CrossRefGoogle Scholar
13Lund, VJ, Kennedy, DW. Staging for rhinosinusitis. Otolaryngol Head Neck Surg 1997;117:S35–40Google Scholar
14Bhattacharyya, N. Clinical and symptom criteria for the accurate diagnosis of chronic sinusitis. Laryngoscope 2006;116:1–22Google Scholar
15Bhattacharyya, N, Lee, LN. Evaluating the diagnosis of chronic rhinosinusitis based on clinical guidelines and endoscopy. Otolaryngol Head Neck Surg 2010;143:147–51Google Scholar
16Hopkins, C, Browne, JP, Slack, R, Lund, V, Brown, P. The Lund-Mackay staging system for chronic rhinosinusitis: how is it used and what does it predict? Otolaryngol Head Neck Surg 2007;137:555–61CrossRefGoogle Scholar
17Snidvongs, K, Kalish, L, Sacks, R, Craig, JC, Harvey, RJ. Topical steroid for chronic rhinosinusitis without polyps. Cochrane Database Syst Rev 2011;(8):CD009274CrossRefGoogle ScholarPubMed
18Silviu-Dan, F. Paediatric chronic rhinosinusitis: the old, the new, and the reasonable. Pediatr Ann 2011;40:213–20CrossRefGoogle ScholarPubMed
19Videler, WJ, van Hee, K, Reinartz, SM, Georgalas, C, van der Meulen, FW, Fokkens, WJ. Long-term low-dose antibiotics in recalcitrant chronic rhinosinusitis: a retrospective analysis. Rhinology 2012;50:45–55CrossRefGoogle ScholarPubMed
20Piromchai, P, Kasemsiri, P, Laohasiriwong, S, Thanaviratananich, S. Chronic rhinosinusitis and emerging treatment options. Int J Gen Med 2013;6:453–64CrossRefGoogle ScholarPubMed
21Ungkanont, K, Damrongsak, S. Effect of adenoidectomy in children with complex problems of rhinosinusitis and associated diseases. Int J Pediatr Otorhinolaryngol 2004;68:447–51CrossRefGoogle ScholarPubMed
22Zhou, B, Wang, S, Li, L, Shi, X. Effect of adenoidectomy on pediatric chronic rhinosinusitis [in Chinese]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2008;22:493–4Google Scholar
23Ramadan, HH, Tiu, J. Failures of adenoidectomy for chronic rhinosinusitis in children: for whom and when do they fail? Laryngoscope 2007;117:1080–3CrossRefGoogle ScholarPubMed
24Ramadan, HH. Adenoidectomy vs endoscopic sinus surgery for the treatment of paediatric sinusitis. Arch Otolaryngol Head Neck Surg 1999;125:1208–11CrossRefGoogle ScholarPubMed
25Eladl, HM, Elmorsy, SM. Endoscopic surgery in pediatric recurrent antrochoanal polyp, rule of wide ostium. Int J Pediatr Otorhinolaryngol 2011;75:1372–5Google Scholar
26Christophel, JJ, Gross, CW. Paediatric septoplasty. Otolaryngol Clin North Am 2009;42:287–94,ixGoogle Scholar
27Tasca, I, Compadretti, GC. Nasal growth after paediatric septoplasty at long-term follow-up. Am J Rhinol Allergy 2011;25:e7–12Google Scholar
28Ramadan, HH, Terrell, AM. Balloon catheter sinuplasty and adenoidectomy in children with chronic rhinosinusitis. Ann Otol Rhinol Laryngol 2010;119:578–82Google Scholar