Chronic rhinosinusitis (CRS) is a significant problem in children and leads to reduced quality of life and increased health care expenditure. This clinical problem is very relevant to otolaryngologists in practice as children with CRS are commonly seen in rhinology, general otolaryngology and pediatric otolaryngology practices. Although chronic inflammation is increasingly recognized as the hallmark of CRS in adults, the picture in children is further confused by superimposed acute exacerbations related to upper respiratory tract infections during the winter season and the role of adenoids. The purpose of the session is to review our knowledge about the pathophysiology of CRS in children, including the role of the adenoids. The speakers will discuss comorbidities such as asthma, allergic rhinitis, ciliary dysmotility, and immune deficiencies in relation to CRS. The clinical picture will be reviewed as well as appropriate diagnostic modalities that should be considered in the management of these children. Medical and surgical management will be discussed including the use of antibiotics, intranasal steroids, saline irrigation, and other supportive therapies and the role of adenoidectomy (with and without balloon dilation of the sinuses) and endoscopic sinus surgery in cases which are refractory to maximal medical management. The discussion will be evidence-based and include a review of recent guidelines and consensus statements.
Learning Objectives: 1. Recognize the prevalence of chronic rhinosinusitis in children and its negative impact on quality of life. 2. List the presenting signs and symptoms, available diagnostic tools, and comorbidities. 3. Implement appropriate medical and surgical strategies to treat chronic rhinosinusitis in children.
Faculty: Fuad Baroody, MD(Nothing to Disclose), Hassan Ramadan, MD, MSc(Nothing to Disclose).