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Clinical Guidelines on Chronic Rhinosinusitis in Children

  • Rhinosinusitis (J Mullol, Section Editor)
  • Published:
Current Allergy and Asthma Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Pediatric chronic rhinosinusitis (CRS) is a prevalent problem that can elude diagnosis. In addition, given the burgeoning interest in pediatric sinonasal disease, treatment modalities are constantly evolving.

Recent Findings

The diagnosis of pediatric CRS is primarily based on clinical history and signs supported by objective findings (i.e., nasal endoscopy and/or computed tomography (CT) imaging). Cultures are indicated in patients who have not responded to medical therapy or have significant comorbidities. Nasal saline irrigation, nasal saline spray, and oral antibiotics are currently recommended for initial medical management. In children with CRS who have failed medical therapy, a stepwise approach to surgical intervention can lead to significant improvements in quality of life.

Summary

This review provides an overview of the current guidelines and recent literature regarding the diagnosis, microbiology, and treatment options of CRS in the pediatric population.

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Authors and Affiliations

  1. Department of Head and Neck Surgery, David Geffen School of Medicine at University of California Los Angeles, 10833 Le Conte Ave, CHS 62-237, Los Angeles, CA, 90095, USA

    Zachariah Chandy & Jivianne T. Lee

  2. Department of Otolaryngology-Head and Neck Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA

    Elisabeth Ference

Authors
  1. Zachariah Chandy
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  2. Elisabeth Ference
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Correspondence to Zachariah Chandy.

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This article is part of the Topical Collection on Rhinosinusitis

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Chandy, Z., Ference, E. & Lee, J.T. Clinical Guidelines on Chronic Rhinosinusitis in Children. Curr Allergy Asthma Rep 19, 14 (2019). https://doi.org/10.1007/s11882-019-0845-7

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  • DOI: https://doi.org/10.1007/s11882-019-0845-7

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