title: Long-term results of functional endoscopic sinus surgery in children with chronic rhinosinusitis with nasal polyps.
abstract: Chronic rhinosinusitis with nasal polyps (CRSwNP) is rare in children and has a major impact on Quality of Life (QoL). Functional endoscopic sinus surgery (FESS) has proven to be an effective treatment, but it is still unclear what long-term outcomes are in children with CRSwNP. The objective of this study was to assess long-term results of FESS in children with CRSwNP.
  
  
  
  We performed a combined prospective and retrospective study. A QoL questionnaire was send to all children with CRSwNP who received FESS between the year 2000-2010. Almost half of these children also filled in this questionnaire preoperatively.
  
  
  
  Forty-four Children underwent FESS. From 18 patients, we also prospectively collected preoperative QoL questionnaires. The mean follow-up period was 4.0 years (+- 2.9). The mean age at surgery was 13 years (+-2.9). Of these children, 9 had CF and 10 children asthma. R-SOM scores showed a significant improvement both in general symptoms as well as several different domains when comparing pre- and postoperative questionnaires. Only 5 of 44 patients needed a subsequent intervention. In children with CF this was 3 of 9.
  
  
  
  This study demonstrates that long-term results of FESS in children with CRSwNP are good. QoL has improved significantly, especially in nasal symptoms, showing that FESS is a good treatment in children with CRSwNP. Furthermore, even children with CF show good results.
authors.forename: M E
authors.initials: ME
authors.lastname: Cornet
authors.forename: C
authors.initials: C
authors.lastname: Georgalas
authors.forename: S M
authors.initials: SM
authors.lastname: Reinartz
authors.forename: W J
authors.initials: WJ
authors.lastname: Fokkens
mesh_terms: D000293:Adolescent; D000367:Age Factors; D002648:Child; D002908:Chronic Disease; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D009298:Nasal Polyps / Q000150:complications* / Q000601:surgery*; D011446:Prospective Studies; D011788:Quality of Life; D012189:Retrospective Studies; D012220:Rhinitis / Q000150:complications / Q000601:surgery*; D012852:Sinusitis / Q000150:complications / Q000601:surgery*; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome