Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2019, Vol. 33 ›› Issue (6): 16-19.doi: 10.6040/j.issn.1673-3770.0.2019.057

Previous Articles     Next Articles

Diagnosis and treatment of pediatric rhinosinusitis

LI Huabin, CAO Yujie   

  1. Department of Otorhinolaryngology, Eye Ear Nose and Throat Hospital of Fudan University, Shanghai 200031, China
  • Online:2019-11-20 Published:2019-12-23

PDF (PC)

532

Abstract: Pediatric rhinosinusitis has distinctly different clinical characteristics and outcomes compared to rhinosinusitis in adults. This is due to the immature development of the paranasal sinuses and immune system. Pediatric rhinosinusitis and other airway diseases, such as allergic rhinitis, otitis media, tonsillitis, and asthma, are closely related. Additionally, patients with pediatric rhinosinusitis are at risk of developing orbital and intracranial complications. Therefore, pediatric rhinosinusitis deserves great attention. This article discusses the pathogenesis, diagnosis, and treatment of chronic rhinosinusitis in children as well as the medication and surgical treatment options.

Key words: Children, Rhinosinusitis, Antibiotics, Diagnosis, Treatment

CLC Number: 

  • R765
[1] 闫淯淳, 吴朔春, 袁新宇, 等. 儿童鼻窦正常气化规律初探[J]. 中华耳鼻咽喉头颈外科杂志, 2011, 46(8): 650-653. doi: 10.3760/cma.j.issn.1673-0860. 2011.08.008. YAN Yuchun, WU Shuochun, YUAN Xinyu, et al. Preliminary study on normal aerification of paranasal sinuses in children[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2011, 46(8): 650-653. doi:10.3760/cma.j.issn.1673-0860. 2011.08.008.
[2] Slavin RG, Spector SL, Bernstein IL, et al. The diagnosis and management of sinusitis: a practice parameter update[J]. J Allergy Clin Immunol, 2005, 116(6 Suppl): S13-S47. doi: 10.1016/j.jaci. 2005.09.048.
[3] Wagenmann M, Naclerio RM. Complications of sinusitis[J]. J Allergy Clin Immunol, 1992, 90(3 Pt 2): 552-554. doi: 10.1016/0091-6749(92)90184-4.
[4] Brook I. Acute sinusitis in children[J]. Pediatr Clin North Am, 2013, 60(2): 409-424. doi:10.1016/j.pcl. 2012.12.002.
[5] Magit A. Pediatric rhinosinusitis[J]. Otolaryngol Clin North Am, 2014, 47(5): 733-746. doi:10.1016/j.otc. 2014.06.003.
[6] Heath J, Hartzell L, Putt C, et al. Chronic rhinosinusitis in children: pathophysiology, evaluation, and medical management[J]. Curr Allergy Asthma Rep, 2018, 18(7): 37. doi: 10.1007/s11882-018-0792-8.
[7] Wald ER, Applegate KE, Bordley C, et al. Clinical practice guideline for the diagnosis and management of acute bacterial sinusitis in children aged 1 to 18 years[J]. Pediatrics, 2013, 132(1): e262-e280. doi:10.1542/peds. 2013-1071.
[8] Chandler JR, Langenbrunner DJ, Stevens ER. The pathogenesis of orbital complications in acute sinusitis[J]. Laryngoscope, 1970, 80(9): 1414-1428. doi:10.1288/00005537-197009000-00007.
[9] Shaikh N, Wald ER. Decongestants, antihistamines and nasal irrigation for acute sinusitis in children[J]. Cochrane Database Syst Rev, 2014(10): CD007909. doi:10.1002/14651858. CD007909. pub4.
[10] 许庚, 史剑波, 文卫平. 儿童鼻窦炎规范化诊断和治疗[J]. 中国耳鼻咽喉头颈外科, 2005, 12(7): 407-410. doi:10.3969/j.issn.1672-7002. 2005.07.001.
[11] Belcher R, Virgin F. The role of the adenoids in pediatric chronic rhinosinusitis[J]. Med Sci(Basel), 2019, 7(2): E35. doi: 10.3390/medsci7020035.
[12] Brietzke SE, Shin JJ, Choi S, et al. Clinical Consensus Statement[J]. Otolaryngol Head Neck Surg, 2014, 151(4): 542-553. doi:10.1177/0194599814549302.
[13] Lieser JD, Derkay CS. Pediatric sinusitis: when do we operate?[J]. Curr Opin Otolaryngol Head Neck Surg, 2005, 13(1): 60-66. doi: 10.1097/00020840-200502000-00014.
[14] Fokkens WJ, Lund VJ, Mullol J, et al. European Position Paper on Rhinosinusitis and Nasal Polyps 2012[J]. Rhinol Suppl, 2012, 23:3, 1-298.
[15] Bhattacharyya N, Jones DT, Hill M, et al. The diagnostic accuracy of computed tomography in pediatric chronic rhinosinusitis[J]. Arch Otolaryngol Head Neck Surg, 2004, 130(9): 1029-1032. doi:10.1001/archotol. 130.9. 1029.
[16] Brook I. The role of antibiotics in pediatric chronic rhinosinusitis[J]. Laryngoscope Investig Otolaryngol, 2017, 2(3): 104-108. doi: 10.1002/lio2.67.
[17] Ozturk F, Bakirtas A, Ileri F, et al. Efficacy and tolerability of systemic methylprednisolone in children and adolescents with chronic rhinosinusitis: a double-blind, placebo-controlled randomized trial[J]. J Allergy Clin Immunol, 2011, 128(2): 348-352. doi:10.1016/j.jaci. 2011.04.045.
[18] Brietzke SE, Brigger MT. Adenoidectomy outcomes in pediatric rhinosinusitis: a meta-analysis[J]. Int J Pediatr Otorhinolaryngol, 2008, 72(10): 1541-1545. doi:10.1016/j.ijporl. 2008.07.008.
[19] 许庚, 李源. 儿童慢性鼻窦炎手术治疗的思考与临床诊疗指引[J]. 中华耳鼻咽喉科杂志, 2003, 38(4): 241-242. doi: 10.3760/j.issn:1673-0860. 2003.04.001.
[20] Soler ZM, Rosenbloom JS, Skarada D, et al. Prospective, multicenter evaluation of balloon sinus dilation for treatment of pediatric chronic rhinosinusitis[J]. Int Forum Allergy Rhinol, 2017, 7(3): 221-229. doi:10.1002/alr. 21889.
[21] Zalzal HG, Makary CA, Ramadan HH. Long-term effectiveness of balloon catheter sinuplasty in pediatric chronic maxillary sinusitis[J]. Ear Nose Throat J, 2019, 98(4): 207-211. doi:10.1177/0145561319840126.
[1] LI Yong. The difficulties, challenges, and strategy for diagnosing and treating pediatric sinusitis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(6): 1-7.
[2] XU Geng. CT scans should not be routinely used for diagnosing chronic sinusitis in children [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(6): 8-9.
[3] YANG Yifan, CHENG Lei. Rhinosinusitis and asthma in children: united airway disease [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(6): 10-15.
[4] LI Yong. The role of antibiotics for pediatric sinusitis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(6): 20-24.
[5] ZHANG Liqiang. Relationship between sinusitis and adenoid hypertrophy in children [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(6): 25-28.
[6] ZHANG Chanyuan, SUN Yulin, WANG Lin, ZHANG Li, CHEN Min, YI Longgang, LI Na, CUI Xin, JIANG Yan. Clinical diagnosis and treatment of orbital complications following pediatric acute rhinosinusitis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(6): 34-40.
[7] LIU Jia, FU Yong. Advances in the surgical treatment of pediatric patients with chronic rhinosinusitis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(6): 29-33.
[8] ZHU Luping, CHEN Juan, ZHU Lei, CHEN Renjie. A child with acute rhinosinusitis, acute glomerulonephritis and an orbital abscess: case report [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(6): 41-44.
[9] Minghong SUN,Xian GAO,Ting ZHAO,Wenjun LIU. Comparison between the efficacy of nasal lavage and combination treatment in allergic rhinitis and vasomotor rhinitis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 73-78.
[10] Taisheng CHEN, Wei WANG, Kaixu XU, Peng LIN. Thoughts on benign paroxysmal positional vertigo and its diagnosis and treatment [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 1-5.
[11] Chengcheng LIANG,Xin WANG,Dapeng LEI. Electronic nasopharyngoscopy for the diagnosis and treatment of otorhinolaryngologic diseases: A retrospective study of 27400 cases [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 107-110.
[12] Shujing HAN,Jie LU,Ping CHU,Lixing TANG,Huiwen ZHENG,Xiaojian YANG,Wei ZHANG,Pengpeng WANG,Jie ZHANG,Yongli GUO,Wentong GE. Meta analysis of the nasal cavity bacterial culture in chronic rhinosinusitis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 132-138.
[13] Weihua CHEN,Kaiyang ZHANG,Xiaobin ZHENG. Foreign bodies in the throat and bronchi of children: a report of 221 cases [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 111-115.
[14] Zhaokun WU,Xinhua ZHU. Can adenotonsillectomy adequately cure children with obstructive sleep apnea syndrome [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 148-152.
[15] Chuanshuo LI,Yongtuan LI,Hainan CAO,Menglu ZHANG. Quantitative analysis of behavior pattern in vertiginous patients [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 32-36.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] LIN Bin,WANGHui-ge . Functional endoscopic sinus surgery, FESS[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(6): 481 -487 .
[2] GONG Lei,SUN Jie,XUE Zi-chao,LI Jing-hua,XUE Wei-guo . DNA analysis of the cell cycle in sino-nasal neoplasm[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 193 -195 .
[3] CHEN Wen-wen . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(5): 472 -472 .
[4] LUAN Jiangang,LIANG Chuanyu,WEN Yanjun,LI Jiong . Construction of RNAi expressing plasmid vector of pSIRENshuttle for EGFR gene silencing[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 4 -8 .
[5] MA Jing, ZHONG Cui-ping . Surgical method for nasopharyngeal fibroangioma encroaching on fossa pterygopalatina: with a report of 5 cases[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 30 -32 .
[6] LIU Qiang-he,LUO Xiang-lin,GENG Wan-ping,CHEN Chen,LEI Xun,LIU Fang-xian,DENG Ming . Age-related spiral ganglion neuron damages and hearing loss in senescence accelerated mice[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 215 -217 .
[7] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 223 -226 .
[8] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 246 -247 .
[9] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 250 -252 .
[10] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 260 -262 .
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd