Pediatric functional endoscopic sinus surgery: Is a second look necessary?

Ron B. Mitchell, Kevin D. Pereira, Ramzi T Younis, Rande H. Lazar

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Functional endoscopic sinus surgery (FESS) has become the surgical procedure of choice for the treatment of chronic sinusitis that is refractory to medical treatment. It has become routine to perform endoscopy in children under general anesthesia 2 to 3 weeks after FESS to facilitate examination and cleaning of the operative site. We compared the clinical outcome of 50 children who underwent FESS without a second-look endoscopy with 50 children who underwent a routine second look. Patients with systemic disease (cystic fibrosis, immotile ciliary syndrome, immunoglobulin deficiency) or undergoing a revision procedure were excluded from the study. The results show that the postoperative improvement in nasal obstruction, nasal drainage, and chronic cough was the same for both groups. We conclude that in the vast majority of children without systemic disease and not undergoing a revision procedure, a second endoscopic procedure may not offer any apparent advantage.

Original languageEnglish
Pages (from-to)1267-1269
Number of pages3
JournalLaryngoscope
Volume107
Issue number9
DOIs
StatePublished - Sep 1 1997
Externally publishedYes

Fingerprint

Pediatrics
Endoscopy
Nasal Obstruction
Sinusitis
Nose
Cough
Cystic Fibrosis
General Anesthesia
Immunoglobulins
Drainage
Therapeutics

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Pediatric functional endoscopic sinus surgery : Is a second look necessary? / Mitchell, Ron B.; Pereira, Kevin D.; Younis, Ramzi T; Lazar, Rande H.

In: Laryngoscope, Vol. 107, No. 9, 01.09.1997, p. 1267-1269.

Research output: Contribution to journalArticle

Mitchell, Ron B. ; Pereira, Kevin D. ; Younis, Ramzi T ; Lazar, Rande H. / Pediatric functional endoscopic sinus surgery : Is a second look necessary?. In: Laryngoscope. 1997 ; Vol. 107, No. 9. pp. 1267-1269.
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