Functional endoscopic sinus surgery--a retrospective analysis of 115 children and adolescents with chronic rhinosinusitis
Standard
Functional endoscopic sinus surgery--a retrospective analysis of 115 children and adolescents with chronic rhinosinusitis. / Siedek, Vanessa; Stelter, Klaus; Betz, Christian S; Berghaus, Alexander; Leunig, Andreas.
In: INT J PEDIATR OTORHI, Vol. 73, No. 5, 05.2009, p. 741-5.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Functional endoscopic sinus surgery--a retrospective analysis of 115 children and adolescents with chronic rhinosinusitis
AU - Siedek, Vanessa
AU - Stelter, Klaus
AU - Betz, Christian S
AU - Berghaus, Alexander
AU - Leunig, Andreas
PY - 2009/5
Y1 - 2009/5
N2 - OBJECTIVE: Functional endoscopic sinus surgery (FESS) is not frequently performed in children. The aim of our retrospective analysis was to determine symptoms, surgical extent, complications and outcome of operated children.METHODS: For a period from 1994 to 2004 the clinical records of the Department of Otorhinolaryngology, LMU Munich, Germany, were screened for pediatric FESS procedures. Subsequently, a retrospective chart review was performed in all cases. For assessment of outcome, symptom- and quality of life-related questionnaires were sent out to all patients.RESULTS: 115 children had a FESS procedure due to CRS, 77 were boys and 38 girls. The response rate of the questionnaires was 64% (73 of 115); the mean follow up of these was 5.4 (+/-1.8) years. 76% of the patients reported an improvement of their chief symptoms and 71% of their general quality of life. The overall quality of life had improved significantly (p<0.01) on VAS. In CRS patients nasal obstruction was completely relieved in 62.3%, facial pain in 65.5% and postnasal drip in 72.5%. Improvement of primary nasal symptoms (PNS) of CRS in patients with CF, asthma or allergies as well as in youngsters who had started or continued to smoke 35 out of 73 (48%) was significantly less.CONCLUSIONS: Self-assessment after FESS showed in 76% improvement of chief symptoms in children with CRS. Besides known negative prognostic factors for long-term outcome as CF, asthma, nasal polyps, allergies and previous surgery, smoking was correlated with less favourable improvement.
AB - OBJECTIVE: Functional endoscopic sinus surgery (FESS) is not frequently performed in children. The aim of our retrospective analysis was to determine symptoms, surgical extent, complications and outcome of operated children.METHODS: For a period from 1994 to 2004 the clinical records of the Department of Otorhinolaryngology, LMU Munich, Germany, were screened for pediatric FESS procedures. Subsequently, a retrospective chart review was performed in all cases. For assessment of outcome, symptom- and quality of life-related questionnaires were sent out to all patients.RESULTS: 115 children had a FESS procedure due to CRS, 77 were boys and 38 girls. The response rate of the questionnaires was 64% (73 of 115); the mean follow up of these was 5.4 (+/-1.8) years. 76% of the patients reported an improvement of their chief symptoms and 71% of their general quality of life. The overall quality of life had improved significantly (p<0.01) on VAS. In CRS patients nasal obstruction was completely relieved in 62.3%, facial pain in 65.5% and postnasal drip in 72.5%. Improvement of primary nasal symptoms (PNS) of CRS in patients with CF, asthma or allergies as well as in youngsters who had started or continued to smoke 35 out of 73 (48%) was significantly less.CONCLUSIONS: Self-assessment after FESS showed in 76% improvement of chief symptoms in children with CRS. Besides known negative prognostic factors for long-term outcome as CF, asthma, nasal polyps, allergies and previous surgery, smoking was correlated with less favourable improvement.
KW - Adolescent
KW - Child
KW - Child, Preschool
KW - Chronic Disease
KW - Comorbidity
KW - Endoscopy
KW - Female
KW - Humans
KW - Male
KW - Mucus
KW - Predictive Value of Tests
KW - Prognosis
KW - Retrospective Studies
KW - Rhinitis
KW - Sinusitis
KW - Smoking
KW - Treatment Outcome
KW - Journal Article
U2 - 10.1016/j.ijporl.2009.01.019
DO - 10.1016/j.ijporl.2009.01.019
M3 - SCORING: Journal article
C2 - 19269044
VL - 73
SP - 741
EP - 745
JO - INT J PEDIATR OTORHI
JF - INT J PEDIATR OTORHI
SN - 0165-5876
IS - 5
ER -