[Choice of treatment plan and operation time on pediatric chronic sinusitis].
OBJECTIVE
To explore the curative effect of pediatric chronic sinusitis and analyze its relative factors, so that the best treatment plan and operation time can be choose.


METHODS
Two hundred and twenty cases of pediatric chronic sinusitis were divided into 4 groups: group A with only simple chronic sinusitis, group B accompanied adenoid hypertrophy. Among group B, group B1 with no nasal cavity structural abnormalities but group B2 on the contrary. Group C accompanied only nasal cavity structural abnormalities. According to the documents, all patients were administered with standard and systematical three-stage treatment. The curative effect of each group was calculated and analyzed in each treated stage.


RESULTS
After the first stage treated in 220 pediatric chronic sinusitis, a statistical significance of curative effect could be observed between group A and B, A and B1, A and B2, A and C (P < 0.01), but none between group B and C, B1 and B2, B1 and C, B2 and C (P > 0.01). Ninety-four patients in group B were accepted the second stage treated: adenoidectomy after first treatment failed. There was a statistical significance of curative effect between group B1 and B2 (P < 0.01). Once the above management both failed, endoscopic sinus surgery (FESS) was carried out. The total effective rate of FESS was 89.65%.


CONCLUSIONS
The systemic, disciplinary medical management has some referred value in the treatment for children with chronic sinusitis. Adenoid hypertrophy and nasal cavity structural abnormalities are two relative factors of the curative effect in pediatric chronic sinusitis. The time and cost of therapy can be saved if adenoidectomy and FESS are done for cases with adenoid hypertrophy or (and) nasal cavity structural abnormalities with the systemic, disciplinary medical management simultaneously.
Liu
Yangyun
Y
Department of Otolaryngology, No 163 Hospital of PLA, Changsha, 410003, China. lyyundr@yahoo.com.cn
Li
Zhengxian
Z
Sun
Zhengliang
Z
Jiang
Wen
W
Feng
Xiurong
X
D000233:Adenoidectomy / Q000379:methods*; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D010347:Patient Care Planning; D012852:Sinusitis / Q000601:surgery*; D016896:Treatment Outcome