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Paediatric endoscopic sinus surgery (PESS): review of the indications.
Rev Laryngol Otol Rhinol (Bord). 2003; 124(3):145-50.RL

Abstract

Functional endoscopic sinus surgery (FESS) differs in children and adults. The purpose of this article is to highlight the differences by focusing on the anatomical landmarks and diagnostic and surgical peculiarities present in children. We review the indications of FESS in children, partially based on our personal experience, in order to establish a list of relative and absolute indications for the procedure. We also discuss controversies such as the overuse of FESS for chronic sinusitis and the potential postoperative alterations of pneumatization. The paper includes a retrospective study of our results with endoscopic dacryocystorhinostomy (DCR) in 31 children and the endoscopic removal of 11 juvenile angiofibromas. All patients were reviewed in the out patients clinic. Patency of DCR was evaluated by fluorescein dye application to the conjunctiva, endoscopy with a 2.7 mm rigid endoscope or by means of clinical parameters, such as tearing or recurrent dacryocystitis. For patients operated on for a juvenile angiofibroma endoscopy of the nose and MRI every 6 months for the first two years were scheduled. Functional outcome showed good overall results in 90.3% of DCR after primary surgery. The endoscopic approach to juvenile angiofibromas achieved a cure rate of 90.9% after a follow-up of at least 24 months.

Authors+Show Affiliations

Bernal-Sprekelsen M
Hospital Clínic, Servicio de ORL, C/Villarroel 170, E-08036 Barcelona, Spain. mbernal@clinic.ub.es
Massegur Solench H
No affiliation info available
Tomás Barberán M
No affiliation info available

MeSH

AdolescentAdultAge FactorsAngiofibromaChildChild, PreschoolEndoscopyHumansInfantMagnetic Resonance ImagingOtorhinolaryngologic Surgical ProceduresParanasal Sinus NeoplasmsParanasal SinusesRetrospective StudiesTreatment Outcome

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

14725129

Citation

Bernal-Sprekelsen, M, et al. "Paediatric Endoscopic Sinus Surgery (PESS): Review of the Indications." Revue De Laryngologie - Otologie - Rhinologie, vol. 124, no. 3, 2003, pp. 145-50.
Bernal-Sprekelsen M, Massegur Solench H, Tomás Barberán M. Paediatric endoscopic sinus surgery (PESS): review of the indications. Rev Laryngol Otol Rhinol (Bord). 2003;124(3):145-50.
Bernal-Sprekelsen, M., Massegur Solench, H., & Tomás Barberán, M. (2003). Paediatric endoscopic sinus surgery (PESS): review of the indications. Revue De Laryngologie - Otologie - Rhinologie, 124(3), 145-50.
Bernal-Sprekelsen M, Massegur Solench H, Tomás Barberán M. Paediatric Endoscopic Sinus Surgery (PESS): Review of the Indications. Rev Laryngol Otol Rhinol (Bord). 2003;124(3):145-50. PubMed PMID: 14725129.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Paediatric endoscopic sinus surgery (PESS): review of the indications. AU - Bernal-Sprekelsen,M, AU - Massegur Solench,H, AU - Tomás Barberán,M, PY - 2004/1/17/pubmed PY - 2004/2/11/medline PY - 2004/1/17/entrez SP - 145 EP - 50 JF - Revue de laryngologie - otologie - rhinologie JO - Rev Laryngol Otol Rhinol (Bord) VL - 124 IS - 3 N2 - Functional endoscopic sinus surgery (FESS) differs in children and adults. The purpose of this article is to highlight the differences by focusing on the anatomical landmarks and diagnostic and surgical peculiarities present in children. We review the indications of FESS in children, partially based on our personal experience, in order to establish a list of relative and absolute indications for the procedure. We also discuss controversies such as the overuse of FESS for chronic sinusitis and the potential postoperative alterations of pneumatization. The paper includes a retrospective study of our results with endoscopic dacryocystorhinostomy (DCR) in 31 children and the endoscopic removal of 11 juvenile angiofibromas. All patients were reviewed in the out patients clinic. Patency of DCR was evaluated by fluorescein dye application to the conjunctiva, endoscopy with a 2.7 mm rigid endoscope or by means of clinical parameters, such as tearing or recurrent dacryocystitis. For patients operated on for a juvenile angiofibroma endoscopy of the nose and MRI every 6 months for the first two years were scheduled. Functional outcome showed good overall results in 90.3% of DCR after primary surgery. The endoscopic approach to juvenile angiofibromas achieved a cure rate of 90.9% after a follow-up of at least 24 months. SN - 0035-1334 UR - https://www.unboundmedicine.com/medline/citation/14725129/Paediatric_endoscopic_sinus_surgery__PESS_:_review_of_the_indications_ DB - PRIME DP - Unbound Medicine ER -