WVU Medicine Ear Nose and Throat Associates, West Virginia University Medicine, 200 Foundation Way Suite 3200, Martinsburg, WV, 25401, USA.
Department of Otolaryngology, West Virginia University Medicine, Morgantown, WV, USA.
Curr Allergy Asthma Rep. 2018 Apr 25;18(5):32. doi: 10.1007/s11882-018-0784-8.
Chronic sinus and upper airway disease in children is a common health problem encountered every day. Its pathophysiology is complicated which leads to different treatment options and approaches. We seek to review the current literature and evidence to surgical treatments.
Medical treatment with antibiotics and topical nasal sprays continues to be the first-line treatment. Surgical interventions include adenoidectomy, balloon catheter sinuplasty (BCS), and endoscopic sinus surgery (ESS). Each modality has proven to be safe; however, its effectiveness is widely variable. More research with higher level of evidence is needed to help in choosing the right surgical treatment with optimal benefit.
儿童慢性鼻窦和上呼吸道疾病是一种常见的健康问题，每天都会遇到。其发病机制复杂，导致治疗选择和方法不同。我们旨在回顾当前有关手术治疗的文献和证据。
抗生素和局部鼻腔喷雾剂的药物治疗仍然是一线治疗方法。手术干预包括腺样体切除术、球囊导管窦切开术（BCS）和内镜鼻窦手术（ESS）。每种方法都已被证明是安全的，但效果差异很大。需要更多具有更高证据水平的研究来帮助选择最佳手术治疗方法，以获得最佳效益。
