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Elective paediatric functional endoscopic sinus surgery: a tertiary centre experience

Published online by Cambridge University Press:  01 August 2025

Timothy Davies Open the ORCID record for Timothy Davies [Opens in a new window] ,
Matthew Zammit ,
Heather Todd ,
Ravi Sharma  and
Grace Khong
Timothy Davies*
Affiliation:
Paediatric Otolaryngology Department, Alder Hey Children’s Hospital, Liverpool, UK
Matthew Zammit
Affiliation:
Paediatric Otolaryngology Department, Alder Hey Children’s Hospital, Liverpool, UK
Heather Todd
Affiliation:
Paediatric Otolaryngology Department, Alder Hey Children’s Hospital, Liverpool, UK
Ravi Sharma
Affiliation:
Paediatric Otolaryngology Department, Alder Hey Children’s Hospital, Liverpool, UK
Grace Khong
Affiliation:
Paediatric Otolaryngology Department, Alder Hey Children’s Hospital, Liverpool, UK
*
Corresponding author: Timothy Davies; Email: timothy.davies@nhs.net
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Abstract

Objectives

To evaluate the indications, outcomes, and recurrence rates of elective paediatric functional endoscopic sinus surgery at a tertiary centre, and to highlight the continued importance of multidisciplinary management.

Methods

A retrospective review included 65 patients (age range 5–17 years) undergoing elective paediatric functional endoscopic sinus surgery from January 2017 to December 2024. Data on demographics, surgical details, additional procedures, and revision rates were collected. Logistic regression identified predictors of revision.

Results

Chronic rhinosinusitis was the most common indication (45/65), with 62 per cent requiring polypectomy and 84 per cent undergoing middle meatal antrostomy. Fifteen percent had cystic fibrosis; cystic fibrosis status significantly predicted revision (odds ratio 8.5, p = 0.007). A multidisciplinary approach was crucial for the 20 per cent needing additional procedures. No major complications were reported.

Conclusion

Paediatric functional endoscopic sinus surgery is safe and effective for paediatric sinonasal disease, particularly where balloon sinuplasty is insufficient for polyposis. Multicentre collaborations will help refine selection criteria and enhance long-term outcomes.

Keywords

pediatricsendoscopysurgical proceduresoperativechronic diseaserhinosinusitiscystic fibrosistreatment outcome

Information

Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 139 , Issue 11 , November 2025 , pp. 1090 - 1094
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.

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Footnotes

Timothy Davies takes responsibility for the integrity of the content of the paper

References

Wang, C, Johnson, R, Horani, S, Brown, C, Mitchell, R, Shah, G. Chronic rhinosinusitis and endoscopic sinus surgery in children admitted for pulmonary exacerbations of cystic fibrosis. Int J Pediatr Otorhinolaryngol 2021;140:110548CrossRefGoogle ScholarPubMed
Virgin, FW, Rowe, SM, Wade, MB, Gaggar, A, Leon, KJ, Young, KR, et al. Extensive surgical and comprehensive postoperative medical management for cystic fibrosis chronic rhinosinusitis. Am J Rhinol Allergy 2012;26:70–5CrossRefGoogle ScholarPubMed
Makary, CA, Ramadan, HH. The role of sinus surgery in children. Laryngoscope 2013;123:1348–52CrossRefGoogle ScholarPubMed
Hopkins, C, Noon, E, Roberts, D. Balloon sinuplasty in acute frontal sinusitis. Rhinology 2009;47:375–8Google ScholarPubMed
Fujita, K, Manes, RP. A review of frontal sinus balloon dilation. Int Forum Allergy Rhinol 2022;12:1310–12CrossRefGoogle ScholarPubMed
Garcia, DP, Corbett, ML, Eberly, SM, Joyce, MR, Le, HT, Karibo, JM, et al. Radiographic imaging studies in pediatric chronic sinusitis. J Allergy Clin Immunol 1994;94:523–30CrossRefGoogle ScholarPubMed
Wu, PW, Huang, CC, Yang, SW, Huang, Y, Huang, CC, Chang, PH, et al. Endoscopic sinus surgery for pediatric patients: prognostic factors related to revision surgery. Laryngoscope 2020;130:1051–5CrossRefGoogle ScholarPubMed
Yung, MW, Gould, J, Upton, GJG. Nasal polyposis in children with cystic fibrosis: a long-term follow-up study. Ann Otol Rhinol Laryngol 2002;111:1081–6CrossRefGoogle ScholarPubMed
Hopkins, C, Browne, JP, Slack, R, Lund, V, Brown, P. The Lund–Mackay staging system for chronic rhinosinusitis: how is it used and what does it predict? Otolaryngol Head Neck Surg 2007;137:555–61CrossRefGoogle Scholar
von Elm, E, Altman, DG, Egger, M, Pocock, SJ, Gøtzsche, PC, Vandenbroucke, JP, et al. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. BMJ 2007;335:806–8CrossRefGoogle ScholarPubMed
Mirza, AA, Shawli, HY, Alandejani, TA, Aljuaid, SM, Alreefi, M, Basonbul, RA, et al. Efficacy and safety of paranasal sinus balloon catheter dilation in pediatric chronic rhinosinusitis: a systematic review. J Otolaryngol Head Neck Surg 2020:49;69CrossRefGoogle ScholarPubMed
Lee, S, Fernandez, J, Mirjalili, SA, Kirkpatrick, J. Pediatric paranasal sinuses – development, growth, pathology, & functional endoscopic sinus surgery. Clin Anat 2022;35:745–61CrossRefGoogle ScholarPubMed
Cornet, ME, Georgalas, C, Reinartz, SM, Fokkens, WJ. Long-term results of functional endoscopic sinus surgery in children with chronic rhinosinusitis with nasal polyps. Rhinology 2013;51:328–34CrossRefGoogle ScholarPubMed
Chang, PH, Lee, LA, Huang, CC, Lai, CH, Lee, TJ. Functional endoscopic sinus surgery in children using a limited approach. Arch Otolaryngol Head Neck Surg 2004;130:1033–6CrossRefGoogle ScholarPubMed
Vlastarakos, PV, Fetta, M, Segas, JV, Maragoudakis, P, Nikolopoulos, TP. Functional endoscopic sinus surgery improves sinus-related symptoms and quality of life in children with chronic rhinosinusitis: a systematic analysis and meta-analysis of published interventional studies. Clin Pediatr (Phila) 2013;52:1091–7CrossRefGoogle ScholarPubMed
Wolf, G, Anderhuber, W, Kuhn, F. Development of the paranasal sinuses in children: implications for paranasal sinus surgery. Ann Otol Rhinol Laryngol 1993;102:705–11CrossRefGoogle ScholarPubMed
Schupper, AJ, Nation, J, Pransky, S. Adenoidectomy in children: what is the evidence and what is its role? Curr Otorhinolaryngol Rep 2018;6:64–73CrossRefGoogle Scholar
Latek, M, Lacwik, P, Molinska, K, Blauz, A, Lach, J, Rychlik, B, et al. Effect of an intranasal corticosteroid on quality of life and local microbiome in young children with chronic rhinosinusitis: a randomized clinical trial. JAMA Pediatr 2023;177:345–52CrossRefGoogle Scholar
Brown, CL, Graham, SM. Nasal irrigations: good or bad? Curr Opin Otolaryngol Head Neck Surg 2004;12:9–13CrossRefGoogle Scholar
Do, BA, Lands, LC, Mascarella, MA, Fanous, A, Saint-Martin, C, Manoukian, JJ, et al. Lund–Mackay and modified Lund–Mackay score for sinus surgery in children with cystic fibrosis. Int J Pediatr Otorhinolaryngol 2015;79:1341–5CrossRefGoogle ScholarPubMed
Sethi, G, Chakravarti, A. Quality of life after endoscopic sinus surgery in refractory pediatric chronic rhinosinusitis. Int J Pediatr Otorhinolaryngol 2016;90:160–4CrossRefGoogle ScholarPubMed
Rizzi, MD, Kazahaya, K. Pediatric chronic rhinosinusitis: when should we operate? Curr Opin Otolaryngol Head Neck Surg 2014;22:27–33CrossRefGoogle ScholarPubMed
Tajudeen, BA, Kennedy, DW. Thirty years of endoscopic sinus surgery: what have we learned? World J Otorhinolaryngol Head Neck Surg 2017;3:115–21CrossRefGoogle ScholarPubMed