Biomedical subjects
Publications and source records attributed to M J Gurucharri.
This paper has been a brief review of complications present in pediatric sinus disease. Complications of sinus disease are rare in the community setting, so that the clinician must be alert to the possibilities of serious disease accompanying sinus infection.
Functional endonasal sinus surgery has become a popular mode of surgical treatment for sinus disease in the United States. The literature has primarily addressed its use in the adult population. We present our series of 57 children who underwent functional endonasal sinus surgery. The children ranged in age from 3 to 15 years. Follow-up was from 3 to 13 months. Fifty-four of the patients were treated for chronic or recurrent sinus infections. Three patients were treated for complications of acute sinusitis. All patients tolerated the procedure well, and there were no major complications. We conclude that functional endonasal sinus surgery is a safe procedure in the pediatric age group. Although postoperative follow-up in the series was very short, early results appear encouraging. The technical approach is similar to that used in the adult procedure. The pediatric procedure, however, requires a follow-up nasal endoscopy under general anesthesia to achieve optimal results.
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Functional endoscopic sinus surgery has been used to treat children in whom medical and traditional surgical therapy have failed. Special approaches are necessary in children because of the small size of the paranasal sinuses. Modifications of the techniques used in adults that are appropriate for use in children are fully explained.