Format

Send to

Choose Destination
See comment in PubMed Commons below
Otolaryngol Head Neck Surg. 2003 Sep;129(3):222-32.

Prognostic staging system and therapeutic effectiveness for recurrent or chronic sinusitis in children.

Author information

1
Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St Louis Missouri 63110, USA. lieuj@msnotes.wustl.edu

Abstract

OBJECTIVE:

We sought to assess the clinical status of pediatric sinusitis patients after a minimum of 2 years follow-up and to evaluate relative treatment effectiveness. Study design We conducted a medical record review of 308 patients, with a 2-year follow-up questionnaire.

RESULTS:

Overall, 55% of children were "much improved." A 4-stage prognostic system was developed and used to compare results in 133 patients who had not responded to medical treatment and who had positive sinus computed tomography scans. Endoscopic sinus surgery (ESS) had no apparent advantages in stages I and IV, but in stages II and III, rates of "much improved" for ESS versus medical therapy were 79% versus 54% and 68% versus 42%, respectively.

CONCLUSION:

These results suggest that ESS may be particularly effective for patients from intermediate prognostic stages.

SIGNIFICANCE:

This type of prognostic staging and evaluation of treatment effectiveness is necessary and important in chronic sinusitis, where randomized trials are unlikely to be performed.

PMID:
12958571
DOI:
10.1016/S0194-5998(03)00602-8
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Atypon
    Loading ...
    Support Center