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Chronic Rhinosinusitis in Children

  • Otolaryngology (EM Arjmand and D Sidell, Section Editors)
  • Published:
Current Treatment Options in Pediatrics Aims and scope Submit manuscript

Abstract

Purpose of review

Pediatric chronic rhinosinusitis (CRS) is a common condition that is often misdiagnosed and can be challenging to treat. This review aims to (1) review definitions, presentation, complications, and management of CRS in children, and (2) highlight the paucity of evidence in the management of pediatric CRS.

Recent findings

There are few studies supporting the usual recommended medical therapy for pediatric CRS (antibiotics, nasal saline irrigations, intranasal steroid). Adenoidectomy remains a mainstay of surgical treatment, but recent evidence demonstrates the utility of balloon sinuplasty and functional endoscopic sinus surgery (FESS) for patients who fail adenoidectomy alone.

Summary

Pediatric CRS is distinct from ARS and adult CRS. It is a common problem that is poorly studied, in part because of significant symptomatic overlap with related conditions. Recent evidence supports the use of surgical treatment in children who fail medical management. However, further outcome studies are needed to better evaluate the effectiveness of current medical and surgical management protocols.

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Authors and Affiliations

  1. Department of Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd, PV-01, Portland, OR, 97239-3098, USA

    Lourdes Quintanilla-Dieck MD & Derek J. Lam MD, MPH

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  1. Lourdes Quintanilla-Dieck MD
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  2. Derek J. Lam MD, MPH
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Correspondence to Derek J. Lam MD, MPH.

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Lourdes Quintanilla-Dieck declares that she has no conflict of interest. Derek J. Lam declares that he has no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Otolaryngology

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Quintanilla-Dieck, L., Lam, D.J. Chronic Rhinosinusitis in Children. Curr Treat Options Peds 4, 413–424 (2018). https://doi.org/10.1007/s40746-018-0142-z

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  • DOI: https://doi.org/10.1007/s40746-018-0142-z

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