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Surgical management of paediatric chronic rhinosinusitis: review of 10 years' experience

  • M Barakate (a1) and T Havas (a2)



To assess the outcome of children with chronic rhinosinusitis who were managed surgically, over a 10-year study period.


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.


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.


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.


Corresponding author

Address for correspondence: Associate Prof M Barakate, PO Box 628, Randwick, NSW 2031, Australia Fax: +61 2 8090 3734 E-mail:


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1Rudmik, L, Soler, ZM, Orlandi, RR, Stewart, MG, Bhattacharyya, N, Kennedy, DW et al. Early postoperative care following endoscopic sinus surgery: an evidence-based review with recommendations. Int Forum Allergy Rhinol 2011;1:417–30
2Stammberger, H, Posawetz, W. Functional endoscopic sinus surgery. Eur Arch Otorhinolaryngol 1990;247:6376
3Shehab, Z, Dowell, M, Pahor, AL. Antral washout with nasal polypectomy: should both be combined? Rhinology 1994;32:6870
4Kamau, JK, Macharia, IM, Odhiambo, PA. Bacteriology of chronic maxillary sinusitis at Kenyatta National Hospital, Nairobi. East Afr Med J 2001;78:343–5
5Pang, YT, Willatt, DJ. Do antral washouts have a place in the current management of chronic sinusitis? J Laryngol Otol 1996;110:926–8
6Ramadan, HR, Terrell, AM. Balloon catheter sinuplasty and adenoidectomy in children with chronic sinusitis. Ann Otol Rhinol Laryngol 2010;119:578–82
7Hamilos, DL. Chronic rhinosinusitis: epidemiology and medical management. J Allergy Clin Immunol 2011;128:693707
8Makary, CA, Ramadan, HH. The role of sinus surgery in children. Laryngoscope 2013;123:1348–52
9Lieser, JD, Derkay, CS. Paediatric sinusitis: when do we operate? Curr Opin Otolaryngol Head Neck Surg 2005;13:60–6
10Zhou, B, Wang, S, Li, L, Shi, X. Evaluation of the medical and surgical treatment of pediatric chronic rhinosinusitis [in Chinese]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2011;25:213–16
11Bublik, M, Herman, B, Younis, R. Functional endoscopic sinus surgery. Oper Tech Otolaryngol Head Neck Surg 2009;20:167–71
12Friedman, RL. Chronic sinusitis in children: a general overview. S Afr Fam Pract 2011;53:230–9
13Lund, VJ, Kennedy, DW. Staging for rhinosinusitis. Otolaryngol Head Neck Surg 1997;117:S35–40
14Bhattacharyya, N. Clinical and symptom criteria for the accurate diagnosis of chronic sinusitis. Laryngoscope 2006;116:122
15Bhattacharyya, N, Lee, LN. Evaluating the diagnosis of chronic rhinosinusitis based on clinical guidelines and endoscopy. Otolaryngol Head Neck Surg 2010;143:147–51
16Hopkins, C, Browne, JP, Slack, R, Lund, V, Brown, P. The Lund-Mackay staging system for chronic rhinosinusitis: how is it used and what does it predict? Otolaryngol Head Neck Surg 2007;137:555–61
17Snidvongs, K, Kalish, L, Sacks, R, Craig, JC, Harvey, RJ. Topical steroid for chronic rhinosinusitis without polyps. Cochrane Database Syst Rev 2011;(8):CD009274
18Silviu-Dan, F. Paediatric chronic rhinosinusitis: the old, the new, and the reasonable. Pediatr Ann 2011;40:213–20
19Videler, WJ, van Hee, K, Reinartz, SM, Georgalas, C, van der Meulen, FW, Fokkens, WJ. Long-term low-dose antibiotics in recalcitrant chronic rhinosinusitis: a retrospective analysis. Rhinology 2012;50:4555
20Piromchai, P, Kasemsiri, P, Laohasiriwong, S, Thanaviratananich, S. Chronic rhinosinusitis and emerging treatment options. Int J Gen Med 2013;6:453–64
21Ungkanont, K, Damrongsak, S. Effect of adenoidectomy in children with complex problems of rhinosinusitis and associated diseases. Int J Pediatr Otorhinolaryngol 2004;68:447–51
22Zhou, B, Wang, S, Li, L, Shi, X. Effect of adenoidectomy on pediatric chronic rhinosinusitis [in Chinese]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2008;22:493–4
23Ramadan, HH, Tiu, J. Failures of adenoidectomy for chronic rhinosinusitis in children: for whom and when do they fail? Laryngoscope 2007;117:1080–3
24Ramadan, HH. Adenoidectomy vs endoscopic sinus surgery for the treatment of paediatric sinusitis. Arch Otolaryngol Head Neck Surg 1999;125:1208–11
25Eladl, HM, Elmorsy, SM. Endoscopic surgery in pediatric recurrent antrochoanal polyp, rule of wide ostium. Int J Pediatr Otorhinolaryngol 2011;75:1372–5
26Christophel, JJ, Gross, CW. Paediatric septoplasty. Otolaryngol Clin North Am 2009;42:287–94,ix
27Tasca, I, Compadretti, GC. Nasal growth after paediatric septoplasty at long-term follow-up. Am J Rhinol Allergy 2011;25:e7–12
28Ramadan, HH, Terrell, AM. Balloon catheter sinuplasty and adenoidectomy in children with chronic rhinosinusitis. Ann Otol Rhinol Laryngol 2010;119:578–82


Surgical management of paediatric chronic rhinosinusitis: review of 10 years' experience

  • M Barakate (a1) and T Havas (a2)


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