Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2019, Vol. 33 ›› Issue (6): 1-7.doi: 10.6040/j.issn.1673-3770.1.2019.055

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The difficulties, challenges, and strategy for diagnosing and treating pediatric sinusitis

LI Yong   

  1. Affiliated Hangzhou First Peoples Hospital, Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang, China
  • Online:2019-11-20 Published:2019-12-23

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Abstract: Sinusitis in children is a common disease in pediatric otorhinolaryngology. The incidence of sinusitis has gradually increased over the last 10 years. However, there is a lack of epidemiological research that focusses on pediatric sinusitis in China. Pediatric sinusitis is often accompanied by an acute viral upper respiratory tract infection, adenoid hypertrophy, and allergic rhinitis. As symptoms overlap it can be challenging to diagnose pediatric sinusitis. Nasal endoscopy is an important diagnostic method that can be used. A computed tomography(CT)scan of the sinus can often be inconsistent. Additionally, as the radiation dose is high, it should be carefully used in children. Treatment of pediatric sinusitis is different from sinusitis in adults. Also, there is less high-quality evidence available. An intranasal steroid and nasal spray are the first-line treatment used for children with sinusitis. The role of antibiotics has become increasingly controversial over the last few years. The difficulties and challenges in diagnosing and treating pediatric sinusitis need to be addressed so that clinical consensus can be reached and countermeasures can be used.

Key words: Pediatric sinusitis, Diagnosis, Treatment

CLC Number: 

  • R765.4
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