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Pediatric chronic rhinosinusitis

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European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

An up-to-date overview of diagnosis, differential diagnosis, comorbidities, and current medical and surgical management of pediatric chronic rhinosinusitis (PCRS).

Methods

Review of current evidence-based literature on PCRS.

Results

Diagnosis of PCRS seems to be improving based on recent evidence using nasal endoscopy as well as computed tomography scanning. Recent literature supports the fact that chronic adenoiditis can be an independent etiology of symptoms of chronic sinusitis, that are very similar to chronic adenoiditis. Allergic rhinitis and immune deficiency play important roles in the management of PCRS. Surgery for PCRS has evolved significantly in the last 15–20 years to include adenoidectomy as well as endoscopic sinus surgery.

Conclusions

PCRS is very common in children causing poor QOL for these children. Medical management remains the main stay of treatment with attention to management of co-morbidities that may contribute to the disease severity. Making the correct diagnosis will help with the choice of surgical intervention if medical management fails.

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Data availability

Not applicable.

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Authors and Affiliations

  1. Department of Otolaryngology-Head and Neck Surgery, Health Sciences Center, West Virginia University School of Medicine, PO Box 9200, Morgantown, WV, USA

    Hassan H. Ramadan

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  1. Hassan H. Ramadan
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Correspondence to Hassan H. Ramadan.

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Ramadan, H.H. Pediatric chronic rhinosinusitis. Eur Arch Otorhinolaryngol 281, 1131–1137 (2024). https://doi.org/10.1007/s00405-023-08307-z

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