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

Barakate, Michael S.; Havas, Thomas

doi:10.1017/s0022215114000334

Cited by 4 publications

(8 citation statements)

References 25 publications

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“…The finding that more than 40% of patients developed refractory symptoms is higher than other estimates ranging from 2% to 30%. 14,15,17,18 Use of preoperative medications and number of preoperative medications were both significantly higher in patients with refractory symptoms. While a higher proportion of patients who used preoperative medications may be expected given that surgical management often follows failed medical management, patients with refractory symptoms also used a significantly higher number of preoperative medications.…”

Section: Discussionmentioning

confidence: 98%

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Factors Associated with Refractory Nasal Congestion Following Adenoidectomy

Patel

Brook

Levi

2020

Ann Otol Rhinol Laryngol

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Objective: The objective of this study was to better characterize factors associated with refractory rhinitis in pediatric patients who underwent adenoidectomy compared to those who had symptom resolution. Methods: The authors conducted a case series of patients younger than 18 years old who underwent adenoidectomy at Boston Medical Center from October 2012 to December 2018. Patients who underwent tonsillectomy and adenoidectomy or who underwent adenoidectomy for indications other than rhinitis were excluded. Patients who had refractory rhinitis symptoms postoperatively were compared to those who had resolution of their symptoms using Chi-square analysis and t-tests. Results: One hundred three patients who had refractory symptoms following adenoidectomy were compared to 139 patients who had resolution of symptoms. Patients who had refractory symptoms had significantly higher proportion of use (89.3%, P = .0011) and higher mean number of preoperative (1.50, P = .0226) and postoperative (1.10, P < .0001) medications, including nasal saline, intranasal steroids, antihistamines, and/or antibiotics. They were more likely to receive postoperative allergy evaluations (50%, P = .0068) and repeat surgery (30.1%, P < .0001), and had a higher proportion of reported history of allergies (24.3%, P = .0089). Conclusion: Use and number of preoperative medications, reported history of allergies, and postoperative allergy evaluation were significantly higher in patients with refractory chronic rhinitis following adenoidectomy. This study identified differences in patients who developed refractory symptoms that may help clinical decision making for surgical management.

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Section: Discussionmentioning

confidence: 98%

“…The finding that more than 40% of patients developed refractory symptoms is higher than other estimates ranging from 2% to 30%. 14,15,17,18…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Refractory Nasal Congestion Following Adenoidectomy

Patel

Brook

Levi

2020

Ann Otol Rhinol Laryngol

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“…При наличии хронических и рецидивирующих гнойных синуситов, полипозных синуситов методом выбора у детей является эндоскопическая риносинусохирургия: визуальный контроль позволяет обеспечить тщательное удаление разрастаний, провести ревизию соустий ОНП, осуществить надежный гемостаз при минимальном операционном травматизме тканей [32] . В настоящее время доля эндоскопических вмешательств при риносинуситах в зарубежных клиниках достигает 92,5% [33][34][35], в России и странах СНГ наблюдается аналогичная ситуация .…”

Section: результаты и обсуждениеunclassified

Simultaneous rhinootosurgery in adults and children

Rusetsky¹,

Arutyunyan²,

Сотникова³

et al. 2019

Ross. rinol.

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Введение. В структуре воспалительных заболеваний детского возраста первое место как по частоте, так и по значимости занимают заболевания верхних дыхательных путей (ВДП) и органа слуха, среди которых-острый и хронический риносину сит, тонзиллит, гипертрофия глоточной миндалины и аденоидит, различные формы отитов. Лечение указанных патологиче ских состояний нередко связано с необходимостью хирургических вмешательств. Цель исследования-выполнить критический обзор существующих публикаций, посвященных опыту одноэтапных хирурги ческих вмешательств на среднем ухе и ВДП. Материал и методы. Проведен анализ научных публикаций, представленных в информационных базах данных PubMed, Google и Google Scholar, содержащих сведения об эффективности симультанных операций при патологии ВДП и органа слуха в дет ском возрасте. Результаты и обсуждение. Высокая распространенность ЛОРзаболеваний в детском возрасте, их отрицательное влияние на общее развитие и качество жизни ребенка, а также сохраняющаяся острая потребность в оперативном лечении обусловли вают необходимость исследования и внедрения рациональных, более безопасных и эффективных хирургических методик для достижения лучших результатов в короткие сроки и профилактики развития тяжелых осложнений. Показана актуальность симультанной риноотохирургии, проанализированы перспективы ее применения в детской практике. Отмечается важность совершенствования техник хирургических вмешательств в детском возрасте. Ключевые слова: симультанная риноотохирургия, хронический средний отит, патология верхних дыхательных путей.

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“…However, Barakate and Havas demonstrate that the approach to children is still very conservative in Australia, as only 82 maxillary antrostomies were performed over a decade, highlighting the limited need for paediatric sinus surgery for chronic disease, even from an active paediatric centre. 4 The frequency of common conditions such as benign positional paroxysmal vertigo and vestibular migraine is again highlighted in a Thai patient population. Tungvachirakul et al, in collaboration with O'Leary's Melbourne group, highlight the infrequent diagnosis of Ménière's disease, despite this condition being high on a general practitioner's differential diagnosis list.…”

mentioning

confidence: 99%

“…Although sinus surgery has a limited role, the occasional surgical intervention is still required. However, Barakate and Havas demonstrate that the approach to children is still very conservative in Australia, as only 82 maxillary antrostomies were performed over a decade, highlighting the limited need for paediatric sinus surgery for chronic disease, even from an active paediatric centre 4 …”

mentioning

confidence: 99%