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Laryngoscope. 2004 Dec;114(12):2103-9.

Surgical management of chronic sinusitis in children.

Author information

1
Department of Otolaryngology-Head and Neck Surgery, West Virginia University, PO Box 9200, Morgantown, WV 26506-9200, USA.

Abstract

OBJECTIVES/HYPOTHESIS:

The objective was to compare three common surgical modalities in children for the treatment of chronic sinusitis that is refractory to medical management.

STUDY DESIGN:

Prospective nonrandomized study in a pediatric otolaryngology tertiary service.

METHODS:

Two hundred two children who satisfied criteria for surgery and were referred over a 10-year period were studied. Children were divided into three surgical groups. Group 1 had both endoscopic sinus surgery and adenoidectomy, group 2 had endoscopic sinus surgery alone, and group 3 had adenoidectomy. After a follow-up period of 12 months, improvement of symptoms was assessed.

RESULTS:

One hundred eighty-three children had adequate follow-up. Eighty seven percent of children in group 1 had improved symptoms, compared with 75% in group 2 and 52% in group 3 (P < .0001). Multivariate analysis showed that surgical procedure was a predictor of success. Asthma, smoke exposure, and age were independent predictors of success.

CONCLUSION:

Children who fail medical therapy benefit from surgery. Following certain criteria, one can chose between adenoidectomy alone or endoscopic sinus surgery with adenoidectomy to optimize surgical treatment of these children.

[Indexed for MEDLINE]

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