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Endoscopic Sinus Surgery in Pediatric Patients

  • Cem Saka
  • Hakan Korkmaz
  • Tania Sih
Chapter

Abstract

Endoscopic sinus surgery (ESC) is a surgical technique that has been safely performed on children since the 1980s. Although the anatomical structures are similar to those of the adult anatomy, the small size of the area involved, the anatomical structures and barriers being thinner and fragile, and various surgical indications all mean that these require special surgical equipment, scrupulous anatomical investigation, and good surgical experience. Endoscopic surgery in children is difficult and it is more difficult to establish surgical indication. The inability to perform regular symptomatic questioning in children and difficulty of examination also make the decision to operate problematic. The possibility of comprehensive surgery inside the nose causing impairment to the developing facial skeletal structure also highlighted the need to reconsider the relevant indications. Indications for ESC at the 1998 consensus agreement in Belgium in 1998 are as follows: (1) Complete nasal obstruction due to cystic fibrosis-related massive polyposis and excessive medialization of the lateral nasal wall, (2) antrochoanal polyps, (3) intracranial complications of sinus diseases, (4) mucocele and mucopyocele, (5) orbital abscess, (6) traumatic injury of the optic canal, (7) dacryocystorhinitis secondary to sinusitis, (8) fungal sinusitis, (9) some meningoencephaloceles, (10) some skull base tumors such as angiofibroma, and (11) chronic sinusitis resistant to medical treatment.

Keywords

Endoscopic sinus surgery Pediatric Developing facial skeletal structure Relevant indications Safely 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Cem Saka
    • 1
  • Hakan Korkmaz
    • 2
  • Tania Sih
    • 3
  1. 1.Department of OtorhinolaryngologyUniversity of Health Sciences, Dıskapı Yıldırım Beyazit Training and Research HospitalAnkaraTurkey
  2. 2.Department of Otorhinolaryngology, Medical FacultyYıldırım Beyazıt UniversityAnkaraTurkey
  3. 3.Medical School at University of Sao PauloSao PauloBrazil

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