Chronic sinusitis among pediatric patients with chronic respiratory complaints

Nguyen, Kim-Lien; Corbett, Mark L.; Garcia, Daniel P; Eberly, Steve M.; Massey, Evan N.; Le, Hung M.; Shearer, Loretta T.; Karibo, John M.; Pence, Hobert L.

doi:10.1016/0091-6749(93)90059-o

Cited by 74 publications

(49 citation statements)

References 26 publications

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“…On the other hand, there have been no reports regarding investigation of the incidence of middle turbinate pneumatization and its relationship with chronic paranasal sinusitis in children. It has been reported that the overall incidence of middle turbinate pneumatization in children is 5-19%, which is lower compared with in adults [2][3][4]. However, the pathology of paranasal sinusitis in children differs from that in adults: it is characterized by repeated cycles of improvement and aggravation of the acute or subacute inflammation, and morphologically, as well, the paranasal sinus is in the developmental stage.…”

Section: Introductionmentioning

confidence: 84%

Relationship between pediatric sinusitis and middle turbinate pneumatization—ethmoidal sinus pyocele thought to be caused by middle turbinate pneumatization

Haruna

Sawada

Nakajima

et al. 2005

International Journal of Pediatric Otorhinolaryngology

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Section: Introductionmentioning

confidence: 84%

Relationship between pediatric sinusitis and middle turbinate pneumatization—ethmoidal sinus pyocele thought to be caused by middle turbinate pneumatization

Haruna

Sawada

Nakajima

et al. 2005

International Journal of Pediatric Otorhinolaryngology

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“…Nguyen et al [16], in a study of children presenting with chronic upper respiratory complaints, found that greater than 60% had sinus mucosal inflammation by CT, 60% had inhalant allergies by skin test results, and 25% had reactive airway disease. Obviously, for patients with allergic rhinitis as a predisposing cause, surgery is only considered when sinus disease persists despite appropriate medical management of allergies.…”

Section: Medical Managementmentioning

confidence: 98%

“…A very large percentage of pediatric patients with rhinosinusitis have underlying allergic rhinitis [15][16][17].…”

Section: Medical Managementmentioning

confidence: 99%

Surgical intervention for sinusitis in children

Manning

2001

Curr Allergy Asthma Rep

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Pediatric rhinosinusitis represents a common endpoint of many potential etiologic factors, but fixed anatomic obstruction of sinus outflow is relatively unusual in pediatric patients. Surgical therapy is considered when medical therapy for underlying mucosal inflammation fails. Adenoidectomy is usually the first surgical intervention to be considered for young children, with the goal of improving sinus drainage and eliminating a potential source of bacteria. Endoscopic sinus surgery is considered for the small percentage of patients, most commonly those with underlying pulmonary disease, who fail less aggressive treatment measures. Every decision for surgery involves a risk-benefit analysis.

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“…Five percent to 13% of childhood viral upper respiratory tract infections may progress to acute rhinosinusitis, [1][2][3][4] with a proportion of these progressing to a chronic condition. PCRS may also coexist and/or be exacerbated by other widespread conditions such as allergic rhinitis and adenoid disease, [5][6][7][8][9] and some suggest the incidence of PCRS may be rising. 10 In addition, PCRS has a meaningful impact on quality of life, 11 with its related adverse effects potentially exceeding that of chronic respiratory and arthritic disease.…”

Section: Introductionmentioning

confidence: 99%

Clinical Consensus Statement: Pediatric Chronic Rhinosinusitis

Brietzke

Shin

Choi

et al. 2014

Otolaryngol.--head neck surg.

184

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Objective. To develop a clinical consensus statement on the optimal diagnosis and management of pediatric chronic rhinosinusitis (PCRS).Methods. A representative 9-member panel of otolaryngologists with no relevant conflicts of interest was assembled to consider opportunities to optimize the diagnosis and management of PCRS. A working definition of PCRS and the scope of pertinent otolaryngologic practice were first established. Patients of ages 6 months to 18 years without craniofacial syndromes or immunodeficiency were defined as the targeted population of interest. A modified Delphi method was then used to distill expert opinion into clinical statements that met a standardized definition of consensus.Results. After 2 iterative Delphi method surveys, 22 statements met the standardized definition of consensus while 12 statements did not. Four statements were omitted due to redundancy. The clinical statements were grouped into 4 categories for presentation and discussion: (1) definition and diagnosis of PCRS, (2) medical treatment of PCRS, (3) adenoiditis/adenoidectomy, and (4) endoscopic sinus surgery (ESS)/turbinoplasty.Conclusion. Expert panel consensus may provide helpful information for the otolaryngologist in the diagnosis and management of PCRS in uncomplicated pediatric patients.

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Chronic sinusitis among pediatric patients with chronic respiratory complaints

Cited by 74 publications

References 26 publications

Relationship between pediatric sinusitis and middle turbinate pneumatization—ethmoidal sinus pyocele thought to be caused by middle turbinate pneumatization

Relationship between pediatric sinusitis and middle turbinate pneumatization—ethmoidal sinus pyocele thought to be caused by middle turbinate pneumatization

Surgical intervention for sinusitis in children

Clinical Consensus Statement: Pediatric Chronic Rhinosinusitis

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