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Management of Rhinosinusitis in Children
Consensus Meeting, Brussels, Belgium, September 13, 1996
Peter A. R. Clement, MD;
Charles D. Bluestone, MD;
Frans Gordts, MD;
Rodney P. Lusk, MD;
Floris W. A. Otten, MD;
H. Goossens, MD;
Glenis K. Scadding, MD;
Haruo Takahashi, MD;
F. Louk van Buchem, MD;
Paul Van Cauwenberge, MD;
Ellen R. Wald, MD
Arch Otolaryngol Head Neck Surg. 1998;124:31-34.
Objectives To (1) provide definitions for the different forms of pediatric rhinosinusitis, with an enumeration of the main symptoms and signs; (2) provide indications for microbiological, allergic, and immunologic assessment as well as for imaging studies; (3) suggest standard medical management with judicious use of antimicrobial agents; and (4) discuss indications for surgery.
Data Sources Clinical studies and literature data relevant to the different topics of pediatric rhinosinusitis.
Conclusions Rhinosinusitis in children is a multifactorial disease in which the importance of several predisposing factors changes with increasing age. Continued study to obtain a better understanding of the disease and carefully controlled comparative evaluations of medical and surgical therapies are suggested.
From the Department of ENT, Head and Neck Surgery (Dr Clement), and the Pediatric ENT Department, Children's Hospital (Dr Gordts), Free University of Brussels (Vrije Universiteit Brussel), Brussels, Belgium; University of Pittsburgh School of Medicine and the Department of Pediatric Otolaryngology (Dr Bluestone), and the Division of Allergy, Immunology and Infectious Diseases, Department of Pediatrics (Dr Wald), Children's Hospital of Pittsburgh, Pittsburgh, Pa; Department of Pediatric Otolaryngology, St Louis Children's Hospital of Washington University, St Louis, Mo (Dr Lusk); the Department of Otorhinolaryngology, Diaconessenziekenhuis, Leiden (Dr Otten), and the Throat, Nose and Ear Department, St Elisabeth Hospital, Tilburg (Dr van Buchem), the Netherlands; the Department of Microbiology (Universitaire Instelling Antwerpen), Antwerp, Belgium (Dr Goossens); Consultant Physician in Clinical Immunology, Allergy and Rhinology, Royal National Throat Nose & Ear Hospital, London, England (Dr Scadding); the Department of Hearing and Speech Science (Department of Otolaryngology), Graduate School of Medecine, Kyoto, Japan (Dr Takahashi); and the ENT Clinic, Department of Otolaryngology, University Hospital Ghent (Universiteit Gent), Ghent, Belgium (Dr Van Cauwenberge).
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