Management of refractory chronic rhinosinusitis in children

摘要: Abstract Objective Pediatric chronic rhinosinusitis (CRS) continues to be a difficult problem for the medical community. Traditionally, oral antibiotic therapy has been cornerstone of treatment, but some patients, who are resistant multiple trials antibiotics, require alternative therapeutic modalities. One such option, use intravenous (IV) shown high success rate in limited study. Our goal is estimate consisting culture directed IV adenoidectomy, and sinus aspiration ameliorating long-term (>12 months) clinical symptoms CRS pediatric patients therapy. Methods We conducted retrospective review records 22 received focusing on patient age, initial presenting symptoms, computed tomography scan finding, length, duration, type prior length follow-up symptom resolution. Results Initial improvement after cessation was achieved all (100%) patients. Seventeen (77%) demonstrated resolution CRS. Excluding 4 immunocompromised 16 18 (89%) amelioration symptoms. Conclusions The results suggest that antibiotics may prove beneficial demonstrate not responsive traditional Although other treatment options currently available this subpopulation provides both maximally effective outcome while using relatively minimally invasive intervention.