Functional Endoscopic Sinus Surgery in Children and Adults

• Published in: Annals of otology, rhinology & laryngology Vol. 109; no. 12; pp. 1113 - 1116
• Main Authors: Jiang, Rong-San, Hsu, Chen-Yi
• Format: Journal Article
• Language: English
• Published: Los Angeles, CA SAGE Publications 01.12.2000; Annals Publishing Compagny; SAGE PUBLICATIONS, INC
• Subjects: Adolescent; Adult; Age Factors; Aged; Aged, 80 and over; Biological and medical sciences; Child; Child, Preschool; Chronic Disease; Endoscopy - adverse effects; Endoscopy - methods; Female; Follow-Up Studies; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics; Humans; Male; Medical sciences; Middle Aged; Nasal Polyps - complications; Nasal Polyps - surgery; Non tumoral diseases; Otorhinolaryngology. Stomatology; Prognosis; Reoperation; Sinusitis - complications; Sinusitis - surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the upper aerodigestive tract; Surveys and Questionnaires; Treatment Outcome; Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology; children; chronic sinusitis; adults; functional endoscopic sinus surgery; Human; Endoscopic surgery; Chronic; Treatment; Surgery; ENT disease; Adult; Paranasal sinus disease; Technique; Child; Sinusitis; Result
• ISSN: 0003-4894; 1943-572X
• DOI: 10.1177/000348940010901205

Functional endoscopic sinus surgery (FESS) has become a popular procedure for the treatment of adults with chronic sinusitis. Recently, it has also been applied in the pediatric population. It has been used to treat chronic sinusitis in our department since April 1988. As of March 1998, 1,112 patients were available for analysis by file and questionnaire review. Of the 1,112 patients, 104 patients (9.4%) who were 16 years of age or younger at the time they first underwent FESS in our department were included in the pediatric endoscopic sinus surgery (PESS) group. The other 1,008 patients (90.6%) were included in the ordinary FESS group. In total, 121 PESS and 1,106 (adult) FESS operations were performed on these patients. Operative complications occurred in 5 PESS operations (4.1%) and 116 FESS operations (10.5%). The postoperative improvement rate was 84% in PESS and 77.1% in FESS. We conclude that PESS can be applied to treat chronic sinusitis effectively in the pediatric population and with less morbidity than FESS.