Pediatric Sinus Surgery: Indications, Techniques, and Outcomes

Abstract

Pediatric sinus surgery is indicated in patients with rhinosinusitis that does not respond medical therapy after controlling of predisposing factors such as allergic rhinitis, adenoiditis, environmental irritants, and gastroesophageal reflux. Orbital and intracranial extensions from rhinosinusitis requires aggressive medical management and expedient surgical intervention. There is an armamentarium of techniques to address the pediatric sinuses, including maxillary antral lavage, septoplasty, turbinate reduction, balloon sinuplasty, and functional endoscopic sinus surgery. Surgeries for pediatric rhinosinusitis have favorable outcomes in general, with low complication rates.