Pediatric chronic rhinosinusitis.

Abstract:

:Pediatric chronic rhinosinusitis is a multifactorial inflammatory and infectious disorder. It likely reflects a dysfunction at the site of the interaction between host and environmental factors in the nose and sinuses. Our limited understanding of this common childhood disease makes it difficult to diagnose and to treat effectively. This review focuses on the scope of manifestations particular to the pediatric form of the disease, diagnostic challenges, and epidemiologic data. The normal development of sinuses in children, the role of inflammation, and biofilm and immune responses in the pathophysiology of chronic rhinosinusitis in pediatric patients are discussed. Predisposing and comorbid factors contributing to this disorder or associated with it are described. The current investigational and therapeutic approaches are presented, including recommendations for imaging and medical and surgical therapy. Various aspects of the disease that are still subject of controversy are underscored. Advice for what constitutes a reason to involve a multidisciplinary collaboration in the care of a child with chronic rhinosinusitis is provided.

journal_name

Pediatr Ann

journal_title

Pediatric annals

authors

Silviu-Dan F

doi

10.3928/00904481-20140723-10

subject

Has Abstract

pub_date

2014-08-01 00:00:00

pages

e201-9

issue

8

eissn

0090-4481

issn

1938-2359

journal_volume

43

pub_type

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