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pediatric fess

Prasad John Thottam, Chistopher M Metz, Monica C Kieu, James Dworkin, Janardhan Jagini, Johnathan N Bangiyev, Deepak Mehta
To evaluate the 2-year post-operative outcomes of pediatric patients with chronic rhinosinusitis (CRS) treated with balloon catheter sinuplasty (BCS) and ethmoidectomy compared to functional endoscopic sinus surgery (FESS). Two-group, retrospective cohort study of 28 children with CRS was performed. Of these 28 participants, 15 were treated with traditional FESS (53.6 %) and 13 (46.4 %) underwent traditional ethmoidectomy with balloon sinuplasty. Pre-operative and 2-year postoperative total symptom scores and medications were compared...
September 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
Lechoslaw Pawel Chmielik, Karolina Raczkowska-Labuda, Lidia Zawadzka-Glos
AIM: Endeavor to intraoperative macroscopic evaluation of changes in children with CRSs. Analysis of the type and incidence of pathological changes observed macroscopically during FESS was undertaken as well as an parallel attempt to correlate the level of inflammation markers with severity of disease. MATERIALS AND METHODS: Retrospective analysis of case records of 153 patients of the Department of Pediatric Otolaryngology, Medical University of Warsaw, hospitalized between 2010 and 2013...
September 2015: International Journal of Pediatric Otorhinolaryngology
Manuele Casale, Antonio Moffa, Lorenzo Sabatino, Annalisa Pace, Giuseppe Oliveto, Massimiliano Vitali, Peter Baptista, Fabrizio Salvinelli
BACKGROUND: To date, topical therapies guarantee a better delivery of high concentrations of pharmacologic agents to the mucosa of the upper aerodigestive tract (UADT). The use of topical drugs, which are able to reduce mucosal inflammation and to improve healing tissues, can represent a relevant therapeutic advance. Topical sodium hyaluronate (SH) has recently been recognized as adjuvant treatment in the chronic inflammatory disease of the UADT. AIMS: The aim of our work was to review the published literature regarding all the potential therapeutic effects of SH in the chronic inflammatory disease of UADT...
2015: PloS One
Elan Horesh, Andrew A Colin, Roy Casiano, Sara T Wester
This case report details an association of chronic allergic conjunctivitis and respiratory tract colonization in a cystic fibrosis (CF) patient due to an ethmoidal mucocele infected with Escherichia coli. A 3-year-old CF patient presented for evaluation with complaints of chronic periocular erythema, conjunctival injection, and irritation for 2 years. He was treated for presumed allergic conjunctivitis with no improvement and continued to have overall worsening of symptoms on the right greater than the left eye in a waxing and waning pattern...
2015: Clinical Ophthalmology
Davide Giordano, Daniele Perano, Sylvia Marchi, Maria Gabriella Raso, Verter Barbieri
BACKGROUND: Sphenoid sinus lesions are rare entities, occurring in 2 - 3% out of all paranasal sinus lesions. Isolated oculomotor nerve palsy due to acute sphenoid sinusitis is very rare, with only few cases reported in literature. METHODS: Retrospective report about a case of isolated acute sphenoid sinusitis in a child with a left-sided third cranial nerve paralysis as the only sign at presentation. RESULTS: Isolated oculomotor nerve palsy can be the initial sign of an isolated acute sphenoid sinusitis in children and it requires a high index of suspicion in order to avoid a delay in diagnosis...
2014: Acta Bio-medica: Atenei Parmensis
Hans-J Welkoborsky, Sylvia Graß, Cordula Deichmüller, Oliver Bertram, Michael L Hinni
Orbital swelling in children presents diagnostic and therapeutic challenges. Most are associated with acute sinusitis with complicating factors possibly including: amaurosis, meningitis, intracranial abscess or even cavernous sinus thrombosis. However not all acute orbital swelling is associated with acute sinusitis. A careful evaluation is critical prior to initiating therapy. Clinical records of 49 children (27 girls, 22 boys, with an average age of 11.8 years) were retrospectively reviewed. Historical data evaluated included all available information from parents and previous treating physicians...
May 2015: European Archives of Oto-rhino-laryngology
Bao Anh Julie Do, Larry C Lands, Christine Saint-Martin, Marco A Mascarella, John J Manoukian, Sam J Daniel, Lily H P Nguyen
OBJECTIVE: Numerous authors have sought to describe genotype-phenotype correlations in cystic fibrosis (CF), notably to pancreatic insufficiency and lung disease. However, few studies have focused on the association between the F508del genotype and response to sinus surgery. The objective of this study is to assess the effect of the F508del genotype on sinonasal disease severity and outcomes following functional endoscopic sinus surgery (FESS) in a pediatric population. METHODS: A retrospective chart review of 153 children with CF seen at a tertiary care pediatric hospital from 1995 to 2008 was performed...
July 2014: International Journal of Pediatric Otorhinolaryngology
Puneet S Braich, Jonathan E Silbert, Andrew J Levada, Neil R Schiff
An otherwise healthy 13-month-old girl was noted by her pediatrician to have developed a left head turn. The patient was referred to a pediatric ophthalmologist, who noticed signs of incomplete third cranial nerve palsy. Magnetic resonance imaging revealed the presence of an abnormal lesion in the inferonasal orbit that was abutting the ethmoid sinus. After consultation with an ENT specialist, the decision was made to remove the lesion via functional endoscopic sinus surgery because this approach was deemed to provide adequate access while limiting morbidity...
February 2014: Ear, Nose, & Throat Journal
Mark D Rizzi, Ken Kazahaya
PURPOSE OF REVIEW: The timing and role of surgery in the management of pediatric chronic rhinosinusitis (pCRS) remains unclear. This review attempts to summarize the existing literature regarding this topic. RECENT FINDINGS: pCRS is a complex clinical syndrome that results from multiple potential causes. Multimodal medical therapy is the accepted primary treatment. Adenoidectomy continues to be the appropriate first-line surgical therapy, and the addition of antral lavage or balloon dilation to this procedure may improve outcomes...
February 2014: Current Opinion in Otolaryngology & Head and Neck Surgery
Petros V Vlastarakos, Melpomeni Fetta, John V Segas, Pavlos Maragoudakis, Thomas P Nikolopoulos
AIM: To assess the current knowledge and evaluate the quality of evidence in the use of FESS for the treatment of chronic rhinosinusitis in children, regarding the respective changes in the quality-of-their-life (QoL) and the outcome that follows the operation. MATERIALS/METHODS: Systematic literature review in Medline and other database sources and meta-analysis of pooled data. RESULTS: 15 studies were systematically analyzed. Four represented Level II, five Level III, and six Level IV evidence...
December 2013: Clinical Pediatrics
Vinh Pham, Kevin Sykes, Julie Wei
OBJECTIVES/HYPOTHESIS: Chronic rhinosinusitis(CRS) results in significant morbidity and health care expenditure. Safety and efficacy of nasal irrigation use in the treatment of pediatric CRS have been demonstrated, but long-term outcomes are unknown. We reviewed characteristics and treatment outcomes after 6 weeks of once daily nasal irrigation in pediatric CRS based on computed tomography (CT) scans, and summarized parental reports of subsequent use of nasal irrigation for recurring symptoms STUDY DESIGN: Retrospective cohort study and cross-sectional survey...
April 2014: Laryngoscope
S J Taj-Aldeen, A Falamarzi, A AlMuzrkchi, J Guarro
Rhinosinusitis infection due to Saksenaea vasiformis is extremely rare. The present case describes a rhino-orbital infection in a 21-month-old Chadian immunocompetent male child with a 2-month history of excessive tearing from the right eye, followed by swelling of the right upper and lower eye lids, associated with right facial swelling and dark coloration surrounding the lower eye lid. Coronal computed tomography (CT) scan of the paranasal sinuses showed opacification of the right nasal cavities with extension to the orbit...
December 2012: Infection
Prasad John Thottam, Michael Haupert, Sonal Saraiya, James Dworkin, Ranga Sirigiri, Walter M Belenky
OBJECTIVE: To evaluate whether the addition of BCS (balloon catheter sinuplasty) would improve the treatment outcome in children with chronic rhinosinusitis (CRS) compared to FESS (functional endoscopic sinus surgery). STUDY DESIGN: Two-group, retrospective cohort with blinded chart review comparison. SETTING: Children's Hospital of Michigan, Detroit, MI. SUBJECTS AND METHODS: Chart review of 15 pediatric patients who underwent BCS with ethmoidectomy and 16 who underwent FESS from 2008 to 2011 for treatment of CRS in a tertiary care, university affiliated, pediatric institution...
September 2012: International Journal of Pediatric Otorhinolaryngology
D Caimmi, E Matti, G Pelizzo, A Marseglia, S Caimmi, E Labò, A Licari, F Pagella, A M Castellazzi, A Pusateri, G B Parigi, G L Marseglia
Nasal polyposis is a chronic inflammatory disease affecting the nasal cavity and the paranasal sinuses. It is a relatively common disease, occurring in 1-4 % of the general population, but it is rarely described in the pediatric population. Most of the published series include children presenting with other underlying systemic diseases, mainly cystic fibrosis. The aim of the present study was to describe the characteristics of the patients suffering from nasal polyposis, evaluated at the Pediatric Clinic of the University of Pavia (Italy) over the last 17 years...
January 2012: Journal of Biological Regulators and Homeostatic Agents
Julie L Wei, Kevin J Sykes, Philip Johnson, Jianghua He, Matthew S Mayo
OBJECTIVES/HYPOTHESIS: To compare efficacy and outcome of daily saline irrigation versus saline/gentamicin for treating chronic rhinosinusitis (CRS). STUDY DESIGN: Prospective, randomized, double-blinded study. METHODS: Forty children diagnosed with CRS were enrolled. Patients were randomized to once-daily irrigation with saline or saline/gentamicin for 6 weeks. Treatment outcomes were measured using 1) Lund-Mackay scoring system of pre- and post-treatment computer tomography (CT); and 2) Sinonasal Quality-of-Life Survey (SN-5) completed at baseline, and after 3 weeks and 6 weeks of irrigation...
September 2011: Laryngoscope
Nathan A Deckard, Gregory J Kruper, Thi Bui, James Coticchia
OBJECTIVE: To compare two minimally invasive techniques for the treatment of chronic rhinosinusitis in young children. BACKGROUND: Chronic rhinosinusitis (CRS) is a common diagnosis in young children. Maxillary sinus aspiration & irrigation with adenoidectomy (MSI) followed by an extended course of oral antibiotics has been shown to be an alternative to functional endoscopic sinus surgery. However, since MSI is not performed under direct visualization, it has inherent risk...
October 2011: International Journal of Pediatric Otorhinolaryngology
Zehra Hilal Adibelli, Murat Songu, Hamit Adibelli
BACKGROUND: The anatomy of the paranasal sinus is significantly different between adults and children, and surgeons must be aware of these differences to safely perform pediatric functional endoscopic sinus surgery. The purpose of this study was to determine the normal dimensions of the paranasal sinuses during development using magnetic resonance imaging (MRI) data compiled from the largest cohort to date. METHODS: The records of 2025 children, aged 0-18 years, who underwent cranial MRI, were examined retrospectively and 1452 patients with no history of sinus disease were included in the study...
January 2011: American Journal of Rhinology & Allergy
Asser A El Sharkawy, Shawky M Elmorsy, Hesham M Eladl
The main objective of this study is to assess the results of functional endoscopic sinus surgery in children and to determine which factors independently influence the postoperative results. It is a prospective study by Mansoura University Hospital. 87 patients with different applications of pediatric endoscopic sinus surgery (PESS) chronic rhinosinusitis (CRS) with nasal allergy (45 patients), CRS without nasal allergy (36 patients) and CRS with polypsis (6 patients) from 2005 to 2010 were included. All children underwent endoscopic sinus surgery...
January 2012: European Archives of Oto-rhino-laryngology
Chung-Hsin Yeh, Wen-Chao Chen, Maggie S F Lin, Hua-Tzu Huang, Shih-Chun Chao, Yi-Chen Lo
A 17-year-old boy with pyrexia, headache, and frequent drop attacks reported an acute onset of periorbital pain and swelling 1 month previously. Coronal computed tomography (CT) identified an ethmoid sinusitis, which was treated with functional endoscopic sinus surgery and intravenous gentamicin, prostaphylline, and metronidazone. Because of persistent symptoms, the patient returned 1 month later. The CT identified accumulation of debris in both frontal sinuses and a multilobulated lesion over the right frontal lobe...
May 2010: Journal of Craniofacial Surgery
Sameh M Ragab, Maher Z Hassanin
OBJECTIVES: To conduct the first prospective randomized controlled study 1) evaluating the possibility of improving the quality of the operative field and to provide a bloodless functional endoscopic sinus surgery (FESS) in children through total intravenous anesthesia (TIVA) using remifentanil combined with propofol, and 2) testing the safety and efficacy of remifentanil in propofol-TIVA in inducing controlled hypotension in children at a target mean arterial blood pressure of 50 mm Hg...
January 2010: Otolaryngology—Head and Neck Surgery
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