Chronic Rhinosinusitis in Children.
Chronic Rhinosinusitis in Children.
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DOI：
10.1007/s40746-018-0142-z
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发表时间：
2018-12
影响因子：
--
通讯作者：
Lam DJ
中科院分区：
文献类型：
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作者：
Quintanilla-Dieck L;Lam DJ
儿童慢性鼻窦炎（CRS）是一种常见疾病，常常被误诊，且治疗可能具有挑战性。本综述旨在：1）回顾儿童CRS的定义、临床表现、并发症及治疗方法。2）强调儿童CRS治疗方面证据的缺乏。
很少有研究支持儿童CRS通常推荐的药物治疗（抗生素、鼻腔盐水冲洗、鼻内类固醇）。腺样体切除术仍然是手术治疗的主要方法，但近期证据表明，对于单独腺样体切除术失败的患者，球囊鼻窦成形术和功能性鼻内镜鼻窦手术（FESS）是有用的。
儿童CRS不同于急性鼻窦炎（ARS）和成人CRS。它是一个研究不足的常见问题，部分原因是与相关疾病在症状上有明显重叠。近期证据支持对药物治疗失败的儿童采用手术治疗。然而，需要进一步的疗效研究来更好地评估当前药物和手术治疗方案的有效性。
Pediatric chronic rhinosinusitis (CRS) is a common condition that is often misdiagnosed and can be challenging to treat. This review aims to 1) Review definitions, presentation, complications, and management of CRS in children. 2) Highlight the paucity of evidence in the management of pediatric CRS. There are few studies supporting the usual recommended medical therapy for pediatric CRS (antibiotics, nasal saline irrigations, intranasal steroid). Adenoidectomy remains a mainstay of surgical treatment, but recent evidence demonstrates the utility of balloon sinuplasty and functional endoscopic sinus surgery (FESS) for patients who fail adenoidectomy alone. Pediatric CRS is distinct from ARS and adult CRS. It is a common problem that is poorly studied, in part because of significant symptomatic overlap with related conditions. Recent evidence supports the use of surgical treatment in children who fail medical management. However, further outcome studies are needed to better evaluate the effectiveness of current medical and surgical management protocols.