xRead - Nasal Obstruction (September 2024) Full Articles

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648

International consensus statement on rhinosinusitis

(Continues)

ESS offers a surgical alternative in the treatment of CRS in children with an excellent safety profile.

considered first line therapy for medically refractory,

uncomplicated pediatric RS. Higher LOE studies are necessary.

corticosteroids to oral

antibiotics reduced clinical PCRS symptoms and CT findings.

recommended management algorithm provided.

recommended in the setting of treatment failures and complications.

TABLE XIII-7 Management of pediatric CRS Study Year LOE Study Design Study Groups Clinical Endpoint Conclusions Fokkens 26 2020 1 Systematic Review N/A N/A Treatment evidence and

Setzen 311 2012 1 Systematic Review N/A Clinical Consensus Statement CT imaging in PCRS is Effectiveness of

Adenoidectomy should be

The addition of oral

ESS success and complication rate

adenoidectomy alone in

management of medically refractory PCRS

Mean change in symptom and CT scan scores after treatment

criteria. Mainly due to their design and heterogeneous comparators

No study met all inclusion

randomly assigned to either oral antibiotics and methyl-prednisolone or antibiotics and placebo

supporting the use of ESS inPCRS

9 studies (6 cohort studies, 4 case series)

Gallant 2311 2018 2 Systematic Review 5 evaluable studies exploring the use of NSI in PCRS (2/5 retrospective)

Ozturk 2350 2011 2 RCT 48 children with CRS

Makary 2357 2013 1 Systematic Review 11 studies (3 prospective)

Brietzke 2353 2008 1 Systematic Review and Meta-analysis