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Functional endoscopic sinus surgery--a retrospective analysis of 115 children and adolescents with chronic rhinosinusitis.
Int J Pediatr Otorhinolaryngol. 2009 May; 73(5):741-5.IJ

Abstract

OBJECTIVE

Functional endoscopic sinus surgery (FESS) is not frequently performed in children. The aim of our retrospective analysis was to determine symptoms, surgical extent, complications and outcome of operated children.

METHODS

For a period from 1994 to 2004 the clinical records of the Department of Otorhinolaryngology, LMU Munich, Germany, were screened for pediatric FESS procedures. Subsequently, a retrospective chart review was performed in all cases. For assessment of outcome, symptom- and quality of life-related questionnaires were sent out to all patients.

RESULTS

115 children had a FESS procedure due to CRS, 77 were boys and 38 girls. The response rate of the questionnaires was 64% (73 of 115); the mean follow up of these was 5.4 (+/-1.8) years. 76% of the patients reported an improvement of their chief symptoms and 71% of their general quality of life. The overall quality of life had improved significantly (p<0.01) on VAS. In CRS patients nasal obstruction was completely relieved in 62.3%, facial pain in 65.5% and postnasal drip in 72.5%. Improvement of primary nasal symptoms (PNS) of CRS in patients with CF, asthma or allergies as well as in youngsters who had started or continued to smoke 35 out of 73 (48%) was significantly less.

CONCLUSIONS

Self-assessment after FESS showed in 76% improvement of chief symptoms in children with CRS. Besides known negative prognostic factors for long-term outcome as CF, asthma, nasal polyps, allergies and previous surgery, smoking was correlated with less favourable improvement.

Authors+Show Affiliations

Ludwig Maximilians-University, Department of Otorhinolaryngology, Head and Neck Surgery, Munich, Germany. vanessa.siedek@med.uni-muenchen.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19269044

Citation

Siedek, Vanessa, et al. "Functional Endoscopic Sinus Surgery--a Retrospective Analysis of 115 Children and Adolescents With Chronic Rhinosinusitis." International Journal of Pediatric Otorhinolaryngology, vol. 73, no. 5, 2009, pp. 741-5.
Siedek V, Stelter K, Betz CS, et al. Functional endoscopic sinus surgery--a retrospective analysis of 115 children and adolescents with chronic rhinosinusitis. Int J Pediatr Otorhinolaryngol. 2009;73(5):741-5.
Siedek, V., Stelter, K., Betz, C. S., Berghaus, A., & Leunig, A. (2009). Functional endoscopic sinus surgery--a retrospective analysis of 115 children and adolescents with chronic rhinosinusitis. International Journal of Pediatric Otorhinolaryngology, 73(5), 741-5. https://doi.org/10.1016/j.ijporl.2009.01.019
Siedek V, et al. Functional Endoscopic Sinus Surgery--a Retrospective Analysis of 115 Children and Adolescents With Chronic Rhinosinusitis. Int J Pediatr Otorhinolaryngol. 2009;73(5):741-5. PubMed PMID: 19269044.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Functional endoscopic sinus surgery--a retrospective analysis of 115 children and adolescents with chronic rhinosinusitis. AU - Siedek,Vanessa, AU - Stelter,Klaus, AU - Betz,Christian S, AU - Berghaus,Alexander, AU - Leunig,Andreas, Y1 - 2009/03/06/ PY - 2008/11/17/received PY - 2009/01/20/revised PY - 2009/01/26/accepted PY - 2009/3/10/entrez PY - 2009/3/10/pubmed PY - 2009/8/15/medline SP - 741 EP - 5 JF - International journal of pediatric otorhinolaryngology JO - Int. J. Pediatr. Otorhinolaryngol. VL - 73 IS - 5 N2 - OBJECTIVE: Functional endoscopic sinus surgery (FESS) is not frequently performed in children. The aim of our retrospective analysis was to determine symptoms, surgical extent, complications and outcome of operated children. METHODS: For a period from 1994 to 2004 the clinical records of the Department of Otorhinolaryngology, LMU Munich, Germany, were screened for pediatric FESS procedures. Subsequently, a retrospective chart review was performed in all cases. For assessment of outcome, symptom- and quality of life-related questionnaires were sent out to all patients. RESULTS: 115 children had a FESS procedure due to CRS, 77 were boys and 38 girls. The response rate of the questionnaires was 64% (73 of 115); the mean follow up of these was 5.4 (+/-1.8) years. 76% of the patients reported an improvement of their chief symptoms and 71% of their general quality of life. The overall quality of life had improved significantly (p<0.01) on VAS. In CRS patients nasal obstruction was completely relieved in 62.3%, facial pain in 65.5% and postnasal drip in 72.5%. Improvement of primary nasal symptoms (PNS) of CRS in patients with CF, asthma or allergies as well as in youngsters who had started or continued to smoke 35 out of 73 (48%) was significantly less. CONCLUSIONS: Self-assessment after FESS showed in 76% improvement of chief symptoms in children with CRS. Besides known negative prognostic factors for long-term outcome as CF, asthma, nasal polyps, allergies and previous surgery, smoking was correlated with less favourable improvement. SN - 1872-8464 UR - https://www.unboundmedicine.com/medline/citation/19269044/Functional_endoscopic_sinus_surgery__a_retrospective_analysis_of_115_children_and_adolescents_with_chronic_rhinosinusitis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-5876(09)00060-3 DB - PRIME DP - Unbound Medicine ER -