Our experience with FESS in children

• Published in: International journal of pediatric otorhinolaryngology Vol. 43; no. 3; pp. 271 - 275
• Main Authors: Rišavi, R, Klapan, I, Handžić-Ćuk, J, Barčan, T
• Format: Journal Article
• Language: English
• Published: Amsterdam Elsevier Ireland Ltd 15.05.1998; Elsevier
• Subjects: Acute Disease; Acute rhinosinusitis; Adolescent; Biological and medical sciences; Child; Children; Chronic Disease; Chronic rhinosinusitis; Endoscopy; FESS; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics; Humans; Medical sciences; Nasal Polyps - surgery; Paranasal Sinuses - surgery; Polyposis; Preoperative Care; Retrospective Studies; Rhinitis - surgery; Sinusitis - surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the upper aerodigestive tract; Chronic rhinosinusitis; Children; Polyposis; Acute rhinosinusitis; FESS; Human; Endoscopic surgery; Nose disease; Radiodiagnosis; Rhinitis; Acute; Treatment efficiency; Adjuvant treatment; Retrospective; Sinusitis; Chronic; Nose; Medical imagery; ENT disease; Evolution; Paranasal sinus disease; Computerized axial tomography; Benign neoplasm; Technique; Child
• ISSN: 0165-5876; 1872-8464
• DOI: 10.1016/S0165-5876(98)00021-4

Between 1993 and 1996 we operated on 50 children with one of the following surgical indications: 17 children with a complication of acute rhinosinusitis and the propagation of the process towards the orbit (periorbitis), six children with an ethmoid and sphenoid foreign body (shrapnels shells), 11 children with an antrochoanal polyp, four children with nasal polyposis in cystic fibrosis and l2 children with chronic rhinosinusitis after 2–4 acute reinfections. The surgery was done under endotracheal anesthesia with hypotension. CT axial and coronal tomograms were done during the preoperative treatment. During the 2 weeks preoperative treatment, the patients with polyposis and antrochoanal polyps were treated with 4–8 mg of cortisone per os or i.m., and also with Fluticasone Propionate 100 mg twice a day and antibiotics in chronic and acute rhinosinusitis. The children's age was between 7 and l5 years. In the patients with nasal polyposis and antrochoanal polyps ( n=15) post-operatively, we had four cases of synechiae, recurrent polyposis in two and antrochoanal polyps in two cases.