Relation of Age to Outcome After Endoscopic Sinus Surgery in Children

Ramadan, Hassan H.

doi:10.1001/archotol.129.2.175

Cited by 33 publications

(21 citation statements)

References 16 publications

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“…When properly performed, the incidence of major complications from ESS in children is less than 1%; however, Goldsmith and Rosenfeld [8] state that the surgery should be performed only by an otolaryngologist experienced in pediatric ESS. Even at tertiary care children's hospital, ESS was not successful in children younger than 3 years of age, and surgical revision was needed for some children who underwent ESS when they were younger than 6 years of age [9]. In addition to these issues with surgery, bacterial resistance to antibiotics has become an important problem [10].…”

Section: Introductionmentioning

confidence: 99%

Nutritional supplements as adjunctive therapy for children with chronic/recurrent sinusitis: pilot research

Linday

Dolitsky

Shindledecker

2004

International Journal of Pediatric Otorhinolaryngology

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Section: Introductionmentioning

confidence: 99%

Nutritional supplements as adjunctive therapy for children with chronic/recurrent sinusitis: pilot research

Linday

Dolitsky

Shindledecker

2004

International Journal of Pediatric Otorhinolaryngology

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“…Other studies based the success of FESS procedure on the questionnaire and the absence of recurrent disease [9,10]. Outcomes were considered failures if children required revision surgery or if their symptoms were not improved [10]. In this study, the success was based on both objective evaluation (improvement in CT and nasal examination) and subjective evaluation (improvement in postoperative symptoms), and the overall success rate was 87.69%.…”

Section: Discussionmentioning

confidence: 95%

“…In this study, the success was based on both objective evaluation (improvement in CT and nasal examination) and subjective evaluation (improvement in postoperative symptoms), and the overall success rate was 87.69%. Other studies reported a success rate of 97.5 [6,8], 7 [7,8], 2% [10], respectively. This diVerence in success rates could be attributed to diVerent evaluating measures either subjective based on symptomatic improvement or objective based on objective endoscopic Wndings.…”

Section: Discussionmentioning

confidence: 97%

“…Another study based their success rate on the absence of recurrent disease [8]. Other studies based the success of FESS procedure on the questionnaire and the absence of recurrent disease [9,10]. Outcomes were considered failures if children required revision surgery or if their symptoms were not improved [10].…”

Section: Discussionmentioning

confidence: 99%

“…According to age group, in our study, inverse relation was detected between age group and either adhesions or recurrence. Other study showed that children older than 6 years had the best success rate and required revision surgery the least, whereas in children younger than 3 years ESS should be reserved for those with complications of sinusitis [10]. This could be attributed to several reasons: the delicate anatomy of children makes the procedure technically more diYcult and limits postoperative debridement of the surgical Weld, beside the diYculty in diagnosis, examination, and follow up in this age group.…”

Section: Discussionmentioning

confidence: 99%

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Functional endoscopic sinus surgery in children: predictive factors of outcome

Sharkawy

Elmorsy

Eladl

2011

Eur Arch Otorhinolaryngol

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The main objective of this study is to assess the results of functional endoscopic sinus surgery in children and to determine which factors independently influence the postoperative results. It is a prospective study by Mansoura University Hospital. 87 patients with different applications of pediatric endoscopic sinus surgery (PESS) chronic rhinosinusitis (CRS) with nasal allergy (45 patients), CRS without nasal allergy (36 patients) and CRS with polypsis (6 patients) from 2005 to 2010 were included. All children underwent endoscopic sinus surgery. All patients were clinically, radiologically and endoscopically monitored. In this study, the overall success rate was 87.69%, the success rate for CRS with nasal allergy was 87.5%, the success rate for CRS without nasal allergy was 85.7% and the success rate for CRS with polyposis was 93%. Regarding the patients' age, it could affect the surgical score value (X(2) = 9.446 and P* = 0.009). There was significant relation between type of the preoperative disease extent, adenoidectomy, second look operation and postoperative improvement. There was no significant relation between type of the preoperative disease or previous surgery and postoperative improvement. In conclusion, postoperative improvement was significantly correlated with extent of preoperative disease, adenoidectomy and second look operation and not significantly correlated with type of the preoperative disease or previous surgery. The results of PESS are influenced by age group, a younger age group is associated with more adhesions and recurrences and an older age group is associated with blood loss and higher surgical score. All these variables are contributing in the outcome of PESS.

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Comorbidities of chronic rhinosinusitis in children and adults

Murtomäki,

Helevä,

Torkki

et al. 2024

Clinical & Translational All

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BackgroundChronic rhinosinusitis (CRS) is a chronic inflammatory disease of the nose and paranasal sinuses lasting ≥12 weeks. CRS may exist with (CRSwNP) or without (CRSsNP) nasal polyps. The aim was to evaluate conditions associated with CRS in a randomized hospital cohort. We hypothesized that comorbidities and surgical procedures differ between pediatric and adult patients.MethodsThis study consisted of hospital registry data of a random sample of rhinosinusitis patients (age range 0–89 years) with the diagnosis of J32 or J33, correspondingly, registered during outpatient visits from 2005 to 2019 (n = 1461). The covariates of interest were collected from electronic health records based on ICD‐10 codes and keyword searches.ResultsAmong pediatric patients (n = 104), the relative proportions of CRSsNP and CRSwNP were 86% and 14% respectively. The relative proportions of adult patients (n = 1357) with CRSsNP and CRSwNP were 60% and 40%, respectively. The following comorbidities significantly differed (p < 0.05) between pediatric and adult populations: allergy, chronic otitis media, and tonsillar diseases. In total, 41 % of the children and 46% of the adults underwent baseline endoscopic sinus surgery (ESS). Additional surgeries of the ear, nose and pharynx were significantly more common among children compared with adults. Risk of revision after baseline ESS was associated (p < 0.05) with allergy, asthma, eosinophilia, CRSwNP, immunodeficiency or its suspicion, non‐steroidal anti‐inflammatory drug exacerbated respiratory disease, and number of any diseases ≥2.ConclusionsOur study showed that comorbidities differ between pediatric and adult rhinosinusitis patients, as allergy, asthma and allergy, chronic otitis media, mental health disorders, and tonsils disease were significantly more prevalent among pediatric patients. Children and adults were equally treated with ESS. Notably, children underwent additional surgery on adenoids and tonsils more frequently. The effectiveness of ESS in multimorbid adults should be assessed at an individual level.

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Relation of Age to Outcome After Endoscopic Sinus Surgery in Children

Cited by 33 publications

References 16 publications

Nutritional supplements as adjunctive therapy for children with chronic/recurrent sinusitis: pilot research

Nutritional supplements as adjunctive therapy for children with chronic/recurrent sinusitis: pilot research

Functional endoscopic sinus surgery in children: predictive factors of outcome

Comorbidities of chronic rhinosinusitis in children and adults

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