Vestn Otorinolaringol. 2011(6):83-4.
The objective of the present study was to evaluate the long-term results of surgical treatment of chronic rhinosinusitis in 320 children depending on the from of the disease. The main cause of relapses of the exudative forms was obliteration of natural and artificial (formed in the course of surgical intervention) intersinus anastomoses as a result of the adhesion process. One-step combined surgery for the treatment of chronic rhinosinusitis (sinusotomy with simultaneous septoplasty, adenotomy, and turbinate reduction) is rarely performed in the children because of the high risk of the adhesive process. The highest frequency of relapses was documented after the surgical treatment of polypous forms of chronic rhinosinusitis. It is recommended that the treatment of polyposis in the young children should be restricted to polypotomy in the nasal cavity in combination with corticosteroid therapy whereas that in the elder patients should be extended to sinusotomy since it is known to result in fewer relapses. The best results were obtained with the management of cystic forms of chronic rhinosinusitis.
本研究的目的是根据疾病类型评估320例儿童慢性鼻 - 鼻窦炎手术治疗的长期结果。渗出性类型复发的主要原因是由于粘连过程导致自然和人工（在手术干预过程中形成）鼻窦间吻合口闭塞。由于粘连过程的高风险，儿童很少进行治疗慢性鼻 - 鼻窦炎的一期联合手术（鼻窦切开术同时行鼻中隔成形术、腺样体切除术和鼻甲缩小术）。慢性鼻 - 鼻窦炎息肉样类型手术治疗后记录到的复发频率最高。建议幼儿鼻息肉病的治疗应限于鼻腔息肉切除术联合皮质类固醇治疗，而年长患者应扩展至鼻窦切开术，因为已知其复发较少。慢性鼻 - 鼻窦炎囊性类型的治疗取得了最佳效果。
