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Pneumatisation of turbinates and paranasal sinuses in children: case report

Published online by Cambridge University Press:  25 February 2013

K Tsioulos ,
M Martinez Del Pero  and
C Philpott
K Tsioulos*
Affiliation:
Department of Asthma, Allergy & Respiratory Science, Guy's Hospital, London, UK
M Martinez Del Pero
Affiliation:
ENT Department, Addenbrooke's Hospital, Cambridge, UK
C Philpott
Affiliation:
ENT Department, James Paget University Hospital, Great Yarmouth, UK Norwich Medical School, University of East Anglia, Norwich, UK
*
Address for correspondence: Mr Konstantinos Tsioulos, Department of Asthma, Allergy & Respiratory Science, King's College London, 5th Floor, Tower Wing, Guy's Hospital, Great Maze Pond, London SE1 9RT Fax: + 44(0)207 403 8640 E-mail: konstantinos.tsioulos@kcl.ac.uk
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Abstract

Objective:

To describe a rare case of multiple anatomical variations in the sinonasal skeleton of an adolescent with chronic rhinosinusitis, together with its successful surgical management.

Case report:

A 15-year-old male adolescent was referred with a 3-year history of nasal blockage and hyposmia. His symptoms did not improve on maximal medical therapy. A pre-operative computed tomography scan revealed numerous anatomical variations in his nose and paranasal sinuses. He underwent neuronavigation-assisted endoscopic sinus surgery without complication, and with subsequent resolution of his symptoms at 10 months.

Conclusion:

Chronic rhinosinusitis in children offers its own set of unique surgical challenges. The effectiveness and safety of sinus surgery in this population can be improved through the knowledge of anatomical variants, and is aided by the use of image guidance systems.

Keywords

NeuronavigationParanasal SinusesPaediatricsSurgical Procedures, OperativeTomography, X-ray Computed
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 4 , April 2013 , pp. 419 - 422
Copyright
Copyright © JLO (1984) Limited 2013

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