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Functional endoscopic sinus surgery in children using a limited approach.
Arch Otolaryngol Head Neck Surg. 2004 Sep; 130(9):1033-6.AO

Abstract

OBJECTIVES

To evaluate the efficacy of the limited approach of functional endoscopic sinus surgery (FESS) in pediatric patients with chronic rhinosinusitis (CRS) and to interpret the indications for second-look endoscopy.

DESIGN

A retrospective review of medical records of patients who received pediatric FESS between January 1995 and September 2002 and a comprehensive parental questionnaire were used to assess postoperative symptom improvement at a mean postoperative follow-up of 27.2 months after surgery.

SETTING

A university-affiliated medical center.

PATIENTS

We studied 101 patients who received treatment of pediatric CRS refractory to optimal medical treatment.

MAIN OUTCOME MEASURES

We analyzed preoperative and postoperative nasal obstruction, purulent rhinorrhea, postnasal drip, headache, hyposmia, and chronic cough.

INTERVENTIONS

Patients underwent a limited surgical approach of FESS, basically a drainage rather than an extirpation procedure, for the treatment of pediatric CRS refractory to optimal medical treatment. Additionally, 29 patients (28%) underwent second-look endoscopy.

RESULTS

The proportions of patients whose symptoms improved were as follows: nasal obstruction, 91%; purulent rhinorrhea, 90%; postnasal drip, 90%; headache, 97%; hyposmia, 89%; and chronic cough, 96%. Of the 101 patients, parents of 87 (86%) were satisfied with the surgery.

CONCLUSIONS

Our literature review did not reveal any other large series in the Asian population. The limited approach to FESS was effective in treating medically recalcitrant CRS in the children we studied. Second-look endoscopy was indicated for selected cases to ensure the extirpation of residual disease and the patency of ostiomeatal complex and sinus ostia.

Authors+Show Affiliations

Department of Otolaryngology, Chang Gung Memorial Hospital, Taipei, Taiwan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15381588

Citation

Chang, Po-Hung, et al. "Functional Endoscopic Sinus Surgery in Children Using a Limited Approach." Archives of Otolaryngology--head & Neck Surgery, vol. 130, no. 9, 2004, pp. 1033-6.
Chang PH, Lee LA, Huang CC, et al. Functional endoscopic sinus surgery in children using a limited approach. Arch Otolaryngol Head Neck Surg. 2004;130(9):1033-6.
Chang, P. H., Lee, L. A., Huang, C. C., Lai, C. H., & Lee, T. J. (2004). Functional endoscopic sinus surgery in children using a limited approach. Archives of Otolaryngology--head & Neck Surgery, 130(9), 1033-6.
Chang PH, et al. Functional Endoscopic Sinus Surgery in Children Using a Limited Approach. Arch Otolaryngol Head Neck Surg. 2004;130(9):1033-6. PubMed PMID: 15381588.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Functional endoscopic sinus surgery in children using a limited approach. AU - Chang,Po-Hung, AU - Lee,Li-Ang, AU - Huang,Chi-Che, AU - Lai,Chi-Hsien, AU - Lee,Ta-Jen, PY - 2004/9/24/pubmed PY - 2004/10/7/medline PY - 2004/9/24/entrez SP - 1033 EP - 6 JF - Archives of otolaryngology--head & neck surgery JO - Arch. Otolaryngol. Head Neck Surg. VL - 130 IS - 9 N2 - OBJECTIVES: To evaluate the efficacy of the limited approach of functional endoscopic sinus surgery (FESS) in pediatric patients with chronic rhinosinusitis (CRS) and to interpret the indications for second-look endoscopy. DESIGN: A retrospective review of medical records of patients who received pediatric FESS between January 1995 and September 2002 and a comprehensive parental questionnaire were used to assess postoperative symptom improvement at a mean postoperative follow-up of 27.2 months after surgery. SETTING: A university-affiliated medical center. PATIENTS: We studied 101 patients who received treatment of pediatric CRS refractory to optimal medical treatment. MAIN OUTCOME MEASURES: We analyzed preoperative and postoperative nasal obstruction, purulent rhinorrhea, postnasal drip, headache, hyposmia, and chronic cough. INTERVENTIONS: Patients underwent a limited surgical approach of FESS, basically a drainage rather than an extirpation procedure, for the treatment of pediatric CRS refractory to optimal medical treatment. Additionally, 29 patients (28%) underwent second-look endoscopy. RESULTS: The proportions of patients whose symptoms improved were as follows: nasal obstruction, 91%; purulent rhinorrhea, 90%; postnasal drip, 90%; headache, 97%; hyposmia, 89%; and chronic cough, 96%. Of the 101 patients, parents of 87 (86%) were satisfied with the surgery. CONCLUSIONS: Our literature review did not reveal any other large series in the Asian population. The limited approach to FESS was effective in treating medically recalcitrant CRS in the children we studied. Second-look endoscopy was indicated for selected cases to ensure the extirpation of residual disease and the patency of ostiomeatal complex and sinus ostia. SN - 0886-4470 UR - https://www.unboundmedicine.com/medline/citation/15381588/Functional_endoscopic_sinus_surgery_in_children_using_a_limited_approach_ L2 - https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/10.1001/archotol.130.9.1033 DB - PRIME DP - Unbound Medicine ER -