ARCH. OTOLARYNGOL. HEAD NECK SURG. 124/1 (1998) 31-34

Management of rhinosinusitis in children: Consensus meeting, Brussels, Belgium, September 13, 1996

Clement P.A.R., Bluestone C.D., Gordts F., Lusk R.P., Otten F.W.A., Goossens H. , Scadding G.K., Takahashi H., Van Buchem F.L., Van Cauwenberge P., Wald E.R.

ENT Department, Laarbeeklaan 101, B-1090 Brussels, Belgium

Abstract
Objectives: To (1) provide definitions for the different forms of pediatric rhinosinusitis, with an enumeration of the main symptoms and signs; (2) provide indications for microbiological, allergic, and immunologic assessment as well as for imaging studies; (3) suggest standard medical management with judicious use of antimicrobial agents; and (4) discuss indications for surgery. Data Sources: Clinical studies and literature data relevant to the different topics of pediatric rhinosinusitis. Conclusions: Rhinosinusitis in children is a multifactorial disease in which the importance of several predisposing factors changes with increasing age. Continued study to obtain a better understanding of the disease and carefully controlled comparative evaluations of medical and surgical therapies are suggested.

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