Surgical Management of Pediatric Chronic Rhinosinusitis

• Published in: Current treatment options in allergy Vol. 11; no. 3; pp. 77 - 86
• Main Authors: McArdle, Erica, Behnke, John, Makary, Chadi A.
• Format: Journal Article
• Language: English
• Published: Cham Springer International Publishing 01.09.2024; Springer Nature B.V
• Subjects: Allergology; Antibiotics; Asthma; Balloon catheters; Balloon treatment; Birth defects; Catheters; Comorbidity; Contraindications; Endoscopy; Family Medicine; General Practice; Inflammation; Lavage; Management; Medical imaging; Medicine; Medicine & Public Health; Otolaryngology; Patients; Pediatrics; Quality of life; Ramadan; Review; Rhinosinusitis; Sinuses; Sinusitis; Sleep apnea; Success; Surgery; Systematic review; Tomography; Topical Collection on Pediatric Dermatology and Allergy; Trauma; Balloon sinuplasty; Chronic adenoiditis; Chronic rhinosinusitis; Endoscopic sinus surgery; Adenoidectomy
• ISSN: 2196-3053; 2196-3053
• DOI: 10.1007/s40521-024-00364-x

Purpose of Review Chronic rhinosinusitis in children has a complicated pathophysiology, leading to various treatment options. We aim to review the current literature regarding surgical management of pediatric chronic rhinosinusitis. Recent Findings Pediatric chronic rhinosinusitis should first undergo optimal medical management including antibiotics and topical nasal sprays prior to surgical intervention. Adenoidectomy is the first-line surgical treatment in children; however, its success rate can be suboptimal depending on patients’ age and comorbidities. Further surgical management includes sinus lavage, balloon catheter sinuplasty, functional endoscopic sinus surgery (FESS). FESS is safe with low complication rate and offers a high success rate when other medical and surgical treatments fail. Summary Surgical management for pediatric chronic rhinosinusitis varies widely and includes multiple safe options.