Guzmán-Romero AK, Macías-Fernández B

Language: Spanish
References: 15
Page: 139-145
PDF size: 485.42 Kb.

ABSTRACT

Endoscopy currently has a key role in the diagnosis and treatment in Otolaryngology. That is the reason why functional endoscopic surgery is the procedure most commonly performed nowadays for the treatment of inflammatory and tumoral sinus disease, in both adults and children. Several reports in the literature mention a negative impact on the development of the bony skeleton of the midface in pediatric patients after undergoing endoscopic sinus surgery. It is also important to consider the anatomical differences in the nasal cavity and paranasal sinus in adults and pediatric patients, as the development and pneumatization of the sinus cavities continues throughout childhood, in addition to the surgical challenge of laying low space and adjacent structures. Even today there is controversy on surgical indications for a sinonasal endoscopic surgery in pediatric population as well as the type of approach and the extent of the procedure to be applied in each case plus the adjuvant treatment, indicated according to the etiology. In this study, a systematic review of the literature was conducted in search of the latest evidence of the outcome and impact of endoscopic sinus surgery in pediatric patients to determine the indications, safety and efficacy, in addition to its potential impact on facial growth.

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