选择性儿科功能性内窥镜鼻窦手术：三级中心经验。

IF 0.8 4区医学 Q3 OTORHINOLARYNGOLOGY

Journal of Laryngology and Otology Pub Date : 2025-08-01 DOI:10.1017/S0022215125102922

Timothy Davies, Matthew Zammit, Heather Todd, Ravi Sharma, Grace Khong

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引用次数: 0

摘要

目的：评估在三级中心择期儿科功能性内窥镜鼻窦手术的适应症、结果和复发率，并强调多学科管理的持续重要性。方法：回顾性分析2017年1月至2024年12月接受选择性小儿功能性内窥镜鼻窦手术的65例患者（年龄5-17岁）。收集了人口统计学、手术细节、附加手术和翻修率的数据。逻辑回归确定了修订的预测因子。结果：慢性鼻窦炎是最常见的适应症（45/65），62%的患者需要息肉切除术，84%的患者需要中颅口造口术。15%的人患有囊性纤维化；囊性纤维化状态显著预测修订（优势比8.5,p = 0.007）。多学科方法对20%需要额外手术的患者至关重要。无重大并发症报道。结论：儿童功能性鼻内镜手术治疗儿童鼻窦疾病是安全有效的，特别是当气囊鼻窦成形术不足以治疗息肉病时。多中心合作将有助于完善选择标准并提高长期成果。

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Elective paediatric functional endoscopic sinus surgery: a tertiary centre experience.

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.

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来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.