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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

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