Although little prospective data exist evaluating surgical turbinate reduction for chronic pediatric sinusitis and rhinitis, some otolaryngologists do perform the procedure on patients for whom medical therapy has been aggressively tried but clinical symptoms persist. This article presents a point-and-counterpoint discussion of the benefits and risks of surgical intervention in this patient population.
Explore this issue:November 2007
Pediatric sinusitis and rhinitis are extremely common. Children average six to eight upper respiratory infections per year, with 0.5% to 5% of these progressing to acute sinusitis. The actual number of cases that progress to chronic sinusitis is not known.1,2
Chronic sinusitis has been defined as an episode of inflammation of the paranasal sinuses lasting for more than 90 days.2 Symptoms may include nasal congestion and discharge (possibly with purulent secretions), cough, postnasal drip, maxillofacial pressure/pain, and occasionally fever and/or headache.3| | | Next → | Single Page