title: Surgical management of paediatric chronic rhinosinusitis: review of 10 years' experience.
abstract: OBJECTIVE
  To assess the outcome of children with chronic rhinosinusitis who were managed surgically, over a 10-year study period.
  
  
  METHODS
  From January 1999 to December 2008 inclusive, 136 children diagnosed with chronic rhinosinusitis underwent surgery following unsuccessful medical treatment. The operations ranged from adenoidectomy to functional endoscopic sinus surgery.
  
  
  RESULTS
  The surgical procedures performed were: adenoidectomy (n=69), antral washouts (n=54), middle meatal antrostomy (n=82), endoscopic ethmoidectomy (n=66), nasal septal reconstruction (n=10), and inferior turbinate outfracture (n=23) or inferior turbinate reductions (n=55). Follow-up duration ranged from 6 months to 9 years (average 3.2 years). Three patients required revision surgery: adenoidectomy in two patients and adenoidectomy with turbinate reductions in another.
  
  
  CONCLUSIONS
  This study demonstrates the benefits of focused surgical treatment for paediatric chronic rhinosinusitis. Surgical treatment can be an appropriate and effective option for children with chronic rhinosinusitis when medical management is unsuccessful.
authors.affiliation: Auburn Hospital,Department of Otolaryngology,University of Notre Dame,Sydney,Australia.
authors.forename: M
authors.initials: M
authors.lastname: Barakate
authors.affiliation: Prince of Wales Hospital,Department of Otolaryngology,University of New South Wales,Sydney,Australia.
authors.forename: T
authors.initials: T
authors.lastname: Havas
mesh_terms: D000233:Adenoidectomy / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D005005:Ethmoid Sinus / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D009300:Nasal Septum / Q000601:surgery; D010254:Paranasal Sinus Diseases / Q000601:surgery*; D012220:Rhinitis / Q000601:surgery*; D012852:Sinusitis / Q000601:surgery*; D016896:Treatment Outcome; D014420:Turbinates / Q000601:surgery