Surgical Management of Pediatric Chronic Rhinosinusitis

Chronic rhinosinusitis in children has a complicated pathophysiology, leading to various treatment options. We aim to review the current literature regarding surgical management of pediatric chronic rhinosinusitis.

Pediatric chronic rhinosinusitis should first undergo optimal medical management including antibiotics and topical nasal sprays prior to surgical intervention. Adenoidectomy is the first-line surgical treatment in children; however, its success rate can be suboptimal depending on patients’ age and comorbidities. Further surgical management includes sinus lavage, balloon catheter sinuplasty, functional endoscopic sinus surgery (FESS). FESS is safe with low complication rate and offers a high success rate when other medical and surgical treatments fail.

Surgical management for pediatric chronic rhinosinusitis varies widely and includes multiple safe options.