title: Clinical consensus statement: pediatric chronic rhinosinusitis.
abstract: OBJECTIVE
  To develop a clinical consensus statement on the optimal diagnosis and management of pediatric chronic rhinosinusitis (PCRS).
  
  
  METHODS
  A representative 9-member panel of otolaryngologists with no relevant conflicts of interest was assembled to consider opportunities to optimize the diagnosis and management of PCRS. A working definition of PCRS and the scope of pertinent otolaryngologic practice were first established. Patients of ages 6 months to 18 years without craniofacial syndromes or immunodeficiency were defined as the targeted population of interest. A modified Delphi method was then used to distill expert opinion into clinical statements that met a standardized definition of consensus.
  
  
  RESULTS
  After 2 iterative Delphi method surveys, 22 statements met the standardized definition of consensus while 12 statements did not. Four statements were omitted due to redundancy. The clinical statements were grouped into 4 categories for presentation and discussion: (1) definition and diagnosis of PCRS, (2) medical treatment of PCRS, (3) adenoiditis/adenoidectomy, and (4) endoscopic sinus surgery (ESS)/turbinoplasty.
  
  
  CONCLUSIONS
  Expert panel consensus may provide helpful information for the otolaryngologist in the diagnosis and management of PCRS in uncomplicated pediatric patients.
authors.affiliation: Walter Reed National Military Medical Center, Bethesda, Maryland, USA SEBrietzke@msn.com.
authors.forename: Scott E
authors.initials: SE
authors.lastname: Brietzke
authors.affiliation: Harvard Medical School, Boston, Massachusetts, USA.
authors.forename: Jennifer J
authors.initials: JJ
authors.lastname: Shin
authors.affiliation: University of Pittsburgh/Children's Hospital of Pittsburgh of UMPC, Pittsburgh, Pennsylvania, USA.
authors.forename: Sukgi
authors.initials: S
authors.lastname: Choi
authors.affiliation: David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California, USA.
authors.forename: Jivianne T
authors.initials: JT
authors.lastname: Lee
authors.affiliation: University of Washington/Seattle Children's Hospital, Seattle, Washington, USA.
authors.forename: Sanjay R
authors.initials: SR
authors.lastname: Parikh
authors.affiliation: Children's National Medical Center, Washington, DC, USA.
authors.forename: Maria
authors.initials: M
authors.lastname: Pena
authors.affiliation: University of Colorado/Children's Hospital Colorado, Aurora, Colorado, USA.
authors.forename: Jeremy D
authors.initials: JD
authors.lastname: Prager
authors.affiliation: West Virginia University, Morgantown, West Virginia, USA.
authors.forename: Hassan
authors.initials: H
authors.lastname: Ramadan
authors.affiliation: University of Texas-Southwestern Medical Center/Children's Medical Center-Dallas, Dallas, Texas, USA.
authors.forename: Maria
authors.initials: M
authors.lastname: Veling
authors.affiliation: American Academy of Otolaryngology-Head and Neck Surgery Foundation, Alexandria, Virginia, USA.
authors.forename: Maureen
authors.initials: M
authors.lastname: Corrigan
authors.affiliation: SUNY Downstate Medical Center, Brooklyn, New York, USA.
authors.forename: Richard M
authors.initials: RM
authors.lastname: Rosenfeld
mesh_terms: D000233:Adenoidectomy; D000293:Adolescent; D000367:Age Factors; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D032921:Consensus; D003697:Delphi Technique; D004724:Endoscopy; D006801:Humans; D007223:Infant; D012220:Rhinitis / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D012852:Sinusitis / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*
chemical_list: D000900:Anti-Bacterial Agents
keywords: Delphi method; chronic rhinosinusitis; evidence-based medicine; pediatric otolaryngology; review; rhinosinusitis