Pediatric functional endonasal sinus surgery (FESS) requires significant surgical training and proficiency. Although the technique is essentially the same as for adults, children need different tactics in each step of the treatment. Preoperative assessment of children relies on the clinical manifestations and the findings of computer tomography scans of the sinuses. Because office nasal endoscopy is not well tolerated by children, the procedure must be done under general anesthesia. The intraoperative approach depends on obtaining adequate vasoconstriction and the surgeon's understanding of varied pediatric anatomy. Careful follow-up, including medical therapy and a nasal endoscopic examination under general anesthesia, is necessary to ensure a good outcome.
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health