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Pediatric Sinusitis and Sinus Surgery

2005 Edition, September 26, 2005

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Active, Most Current

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ISBN: 978-0-8247-2881-6
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Product Details:

  • Revision: 2005 Edition, September 26, 2005
  • Published Date: September 26, 2005
  • Status: Active, Most Current
  • Document Language: English
  • Published By: CRC Press (CRC)
  • Page Count: 292
  • ANSI Approved: No
  • DoD Adopted: No

Description / Abstract:


Sinusitis is a common disease entity in the pediatric and adult age groups. Pediatric sinusitis is a dynamic complex entity manifesting itself with a variety of signs and symptoms that may be compounded by a multitude of comorbidities. The etiological factors may vary from the most common upper respiratory tract infections and allergy to unusual systemic genetic disorders, such as cystic fibrosis or immune deficiency. The diagnosis and management of pediatric sinusitis requires meticulous attention to details.

Pediatric patients are not young adults; many etiological and inherent factors of pediatric sinusitis may not apply to adults. Even in the pediatric age group, younger patients should be addressed and treated differently than older and adolescent children. Sinusitis may be confused in preschool- age children more than in adolescents, and adults. In this age group, it may be difficult to differentiate upper respiratory tract infections from allergy or what is commonly known as ‘‘day care syndrome,'' yet these latter factors can easily lead to sinusitis. Additionally, adenoiditis or adenoidal hypertrophy may mimic or cause sinusitis; however, the perspective and management may be similar. Furthermore, whenever treating pediatric sinusitis, our attention should not just be concentrated on sinuses as a variety of other contributing factors should be identified and controlled. These can include, but not be limited to, gastroesophageal reflux, allergy, cystic fibrosis, and immotile cilia syndrome.

In the past, pediatric sinusitis may have been poorly recognized and understood. Currently we face the problem of overdiagnosis and treatment. This is why we need to exhaust our efforts in isolating any ‘‘contributory'' or etiological factors prior to labeling or treating a child. Diagnosis in children is challenging because we are commonly dealing with a sick, nervous, apprehendive child who is difficult to examine. Moreover, the history is given by parents or caretakers who have their own perspectives and expectations of the child.

The mainstay of therapy is medical treatment, with antibiotics and nasal steroid spray being the cornerstones. A wide variety of surgical procedures have been discussed. Pediatric endoscopic sinus surgery has become the surgical procedure of choice since its introduction in the late 1980s. It had evolved over the years to include additional instrumentation and applications with extremely rewarding and successful results; yet standardized outcomes are not well identified.

In this textbook, the various aspects of pediatric sinusitis are addressed in detail. It is a unique book that covers pediatric sinusitis and sinus surgery in a comprehensive and explicit fashion. The uniqueness of this work is that it comprises a spectrum of factors manifested by scientifically sound subject matter and easy flow of information. It is meticulously tailored and written by world-renowned experts in the field. This book is not directed only to otolaryngologists, but also to medical students, pediatric or primary care residents, and paramedical specialists.

The chapters are easy to read with a wealth of information that is easily accessible. All pertinent aspects of pediatric sinus diseases are discussed. Embryology, anatomy, and physiology along with detailed diagnostic work-up are discussed in the first chapters to allow the reader to understand and visualize a clear image of the sinusitis in children. The complications of sinusitis that are most common in children are then detailed, along with an additional chapter comparing adult versus pediatric sinusitis. Several factors may affect sinusitis in children; hence, each and every factor is critical and has been explicitly detailed in four other chapters that include pediatric sinusitis and comorbidities, allergy, immune deficiency, and cystic fibrosis. Surgical and medical management are dealt with at length in two other chapters. Emphasis is further made on the delicate and critical role of endoscopic sinus surgery by detailing the various aspects of pediatric endoscopic sinus surgery. Additional chapters that discuss the role of computer-assisted surgery and new stepwise approaches to endoscopic sinus surgery, along with another chapter on the importance of sphenoid sinus and complications of endoscopic sinus surgery are provided. The critical role of tonsils and adenoids in sinusitis in children is also very well elicited. In addition to all these important features, we felt it prudent to give advice it on how to set up and establish a successful and productive sinus center in the final chapter.

This textbook has been adequately structured to cover the wide spectrum of sinusitis in children. The content and scope are written to appeal to various subspecialists involved in the management of pediatric sinusitis. This may include pediatricians, immunologists, allergists, infectious disease specialists, intensivists, pulmunologists, and otolaryngologists. The complex and delicate nature of pediatric sinusitis dictates the need of teamwork of specialists along with caretakers. The importance and necessity of multispecialty efforts to tackle sinusitis in children are well portrayed. The chapters are elegantly written in a resourceful and scientific fashion. The uniqueness and universality of this textbook had been unseen earlier. Finally, I would like to thank my publisher for helping me to get this dream into factual reality with special recognition and thanks to my valuable authors. I would like also to extend my sincere and warmest appreciation to my wife and children who have endured tirelessly with me to produce this magnificent book.