This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Scott C. Manning, MD; Richard L. Wasserman, MD, PhD; Richard Silver, MD; Debra L. Phillips, BSN, RN

Arch Otolaryngol Head Neck Surg. 1994;120(10):1142-1145.

Abstract
Objective
To determine the efficacy of endoscopic sinus surgery in pediatric patients with chronic sinusitis and asthma.

Setting
Patients were selected from the tertiary care practice of a pediatric pulmonologist (R.S.) and immunologist (R.L.W.); all underwent sinus surgery at Children's Medical Center at Dallas (Tex).

Patients
Fourteen pediatric patients aged 3.5 to 13 years with severe asthma requiring at least intermittent systemic steroid therapy. All patients had a history of sinusitis aggravating asthma and all had computed tomographic evidence of chronic sinus disease.

Intervention
All patients underwent endoscopic sinus surgery consisting of bilateral total ethmoidectomies and middle meatus antrostomies at a minimum.

Main Outcome Measures
The period 12 months prior to surgery was compared with 12 months postoperatively with regard to total hospitalization days for asthma treatment, number of school days missed, pulmonary function test results, and systemic glucocorticoid medication requirements. Symptom scores for asthma and sinusitis were assessed via parental questionnaire both preoperatively and postoperatively.

Results
No significant difference was found for pulmonary function test results. Eleven of 14 patients demonstrated a significant reduction in hospitalization and school days missed. Twelve of 14 patients experienced a reduction in glucocorticoid requirements. Eleven of 14 and 13 of 14 patients experienced a significant improvement in asthma and sinusitis symptom scores.

Conclusion
Endoscopic sinus surgery was effective in reducing sinusitis and improving the overall management of asthma in a majority of study patients.

(Arch Otolaryngol Head Neck Surg. 1994;120:1142-1145)

Author Affiliations
From the Departments of Otorhinolaryngology (Dr Manning and Ms Phillips) and Pediatrics (Drs Wasserman and Silver), University of Texas Southwestern Medical Center at Dallas.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

The Impact of Sinus Computed Tomography on Treatment Decisions for Chronic Sinusitis
Anzai et al.
Arch Otolaryngol Head Neck Surg 2004;130:423-428.
ABSTRACT | FULL TEXT  

Concomitant Chronic Sinusitis Treatment in Children With Mild Asthma: The Effect on Bronchial Hyperresponsiveness
Tsao et al.
Chest 2003;123:757-764.
ABSTRACT | FULL TEXT  

Effect of Functional Endoscopic Sinus Surgery on Bronchial Asthma Outcomes
Goldstein et al.
Arch Otolaryngol Head Neck Surg 1999;125:314-319.
ABSTRACT | FULL TEXT  

Endoscopic Sinus
Kao
Arch Otolaryngol Head Neck Surg 1995;121:814-814.
ABSTRACT