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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Does balloon catheter sinuplasty have a role in the surgical management of pediatric sinus disease?
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Does balloon catheter sinuplasty have a role in the surgical management of pediatric sinus disease?

机译：球囊导管矫正术在小儿鼻窦疾病的外科治疗中是否起作用？

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摘要

The surgical management of chronic recurrent sinusitis (CRS) recalcitrant to medical therapy in the pediatric population has traditionally consisted of ade-noidectomy and functional endoscopic sinus surgery (FESS), depending on age and imaging findings. Ade-noidectomy relieves nasopharyngeal airway obstruction as well as potentially eradicates a bacterial reservoir. FESS, as in adults, promotes paranasal sinus ventilation and drainage. Pediatric FESS most commonly consists of uncinectomy, maxillary antrostomy, and/or ethmoidec-tomy due to the relative underdevelopment of the sphenoid and especially the frontal sinuses in preadoles-cont children. FESS is generally considered to be safe, with major complications such as cerebrospinal fluid leak, meningitis, or orbital violation occurring in <1% of cases. Initial concerns that FESS in the pediatric population may lead to retardation of facial growth have proven to be unsubstantiated.
机译：根据年龄和影像学表现，在儿科人群中对药物治疗顽强的慢性复发性鼻窦炎（CRS）的外科治疗传统上包括腺切除术和功能性内窥镜鼻窦手术（FESS）。腺切除术可缓解鼻咽气道阻塞，并有可能根除细菌库。与成人一样，FESS促进鼻旁窦通气和引流。小儿FESS最常见的包括癌切除术，上颌窦吻合术和/或输卵管切开术，这是因为蝶窦持续接触的儿童蝶骨，尤其是额窦相对发育不全。 FESS通常被认为是安全的，在少于1％的病例中发生诸如脑脊液漏，脑膜炎或眼眶侵犯等重大并发症。最初关于小儿FESS可能导致面部发育迟缓的担忧已被证实没有根据。

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