Clinical Consensus Statement: Pediatric Chronic Rhinosinusitis

被引：123

作者：

Brietzke, Scott E. ^{[1
]}

Shin, Jennifer J. ^{[2
]}

Choi, Sukgi ^{[3
]}

Lee, Jivianne T. ^{[4
]}

Parikh, Sanjay R. ^{[5
]}

Pena, Maria ^{[6
]}

Prager, Jeremy D. ^{[7
]}

Ramadan, Hassan ^{[8
]}

Veling, Maria ^{[9
]}

Corrigan, Maureen ^{[10
]}

Rosenfeld, Richard M. ^{[11
]}

机构：

[1] Walter Reed Natl Mil Med Ctr, Bethesda, MD USA

[2] Harvard Univ, Sch Med, Boston, MA USA

[3] Univ Pittsburgh, Childrens Hosp Pittsburgh, UMPC, Pittsburgh, PA 15213 USA

[4] Univ Calif Los Angeles, David Geffen Sch Med, Los Angeles, CA 90095 USA

[5] Univ Washington, Seattle Childrens Hosp, Seattle, WA 98195 USA

[6] Childrens Natl Med Ctr, Washington, DC 20010 USA

[7] Univ Colorado, Childrens Hosp Colorado, Aurora, CO USA

[8] W Virginia Univ, Morgantown, WV 26506 USA

[9] Univ Texas SW Med Ctr Dallas, Childrens Med Ctr Dallas, Dallas, TX 75390 USA

[10] Amer Acad Otolaryngol Head & Neck Surg Fdn, Alexandria, VA USA

[11] Suny Downstate Med Ctr, Brooklyn, NY 11203 USA

来源：

OTOLARYNGOLOGY-HEAD AND NECK SURGERY | 2014年 / 151卷 / 04期

关键词：

pediatric otolaryngology; rhinosinusitis; chronic rhinosinusitis; evidence-based medicine; review; Delphi method; ENDOSCOPIC SINUS SURGERY; DAILY NASAL IRRIGATION; QUALITY-OF-LIFE; PRACTICE GUIDELINE; YOUNG-CHILDREN; FACIAL GROWTH; COMPUTED-TOMOGRAPHY; SINONASAL SYMPTOMS; PARANASAL SINUSES; INCIDENCE RATES;

D O I：

10.1177/0194599814549302

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Objective. To develop a clinical consensus statement on the optimal diagnosis and management of pediatric chronic rhinosinusitis (PCRS). Methods. A representative 9-member panel of otolaryngologists with no relevant conflicts of interest was assembled to consider opportunities to optimize the diagnosis and management of PCRS. A working definition of PCRS and the scope of pertinent otolaryngologic practice were first established. Patients of ages 6 months to 18 years without craniofacial syndromes or immunodeficiency were defined as the targeted population of interest. A modified Delphi method was then used to distill expert opinion into clinical statements that met a standardized definition of consensus. Results. After 2 iterative Delphi method surveys, 22 statements met the standardized definition of consensus while 12 statements did not. Four statements were omitted due to redundancy. The clinical statements were grouped into 4 categories for presentation and discussion: (1) definition and diagnosis of PCRS, (2) medical treatment of PCRS, (3) adenoiditis/adenoidectomy, and (4) endoscopic sinus surgery (ESS)/turbinoplasty. Conclusion. Expert panel consensus may provide helpful information for the otolaryngologist in the diagnosis and management of PCRS in uncomplicated pediatric patients.

引用

页码：542 / 553

页数：12

共 61 条

[1] What is the proper role of oral antibiotics in the treatment of patients with chronic sinusitis? [J].