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The Pros and Cons of Second-Look Sinonasal Endoscopy After Endoscopic Sinus Surgery in Children
Arch Otolaryngol Head Neck Surg. 2005;131:267-269.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Hypothesis: The outcomes of pediatric patients undergoing 2 surgical procedures and 2 periods of endotracheal general anesthesia justify the risks of routinely scheduled second-look sinonasal endoscopy (SLSE).
BACKGROUND
Management of sinusitis in children was transformed with the introduction of pediatric endoscopic sinus surgery (PESS). In the late 1980s, PESS was pioneered by Gross et al,1 and since then, it has evolved to include expanded indications, innovative modifications, and improved instrumentation.
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Pediatric sinusitis is a common and complex disease entity. Most children with sinusitis respond to medical treatment, and surgical intervention is reserved for the patients who do not.2 The typical candidates for PESS are children with chronic or recurrent sinusitis refractory to standard medical care or sinusitis with complications.3-4 Several articles and textbooks have described the technical aspects of endoscopic sinus surgery in the pediatric and adult age groups.3-5 Pediatric endoscopic sinus surgery differs from similar treatment . . . [Full Text of this Article]
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BOTTOM LINE
AUTHOR INFORMATION
Ramzi T. Younis, MD
Author Affiliations: University of Miami Department of Otolaryngology, Bascom Palmer Eye Institute, Miami, Fla.
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Use of SLSE After Endoscopic Sinus Surgery in Children Should Be Strictly Limited
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Arch Otolaryngol Head Neck Surg. 2005;131(3):269-270.
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