Bolt R J, de Vries N, Middelweerd R J
Department of Otorhinolaryngology/Head and Neck Surgery, Free University Hospital, Amsterdam, The Netherlands.
Rhinology. 1995 Sep;33(3):148-51.
Functional endoscopic sinus surgery (FESS) was performed on 21 children with nasal polyps, who had a total of 34 operations, on 65 sides. Retrospectively, we reviewed the pre-operative symptoms, pre-operative findings and results of FESS. The diagnoses were made with anterior rhinoscopy and CT scan. Allergy could be confirmed in 24%. Half of the children (52%) had been previously operated on because of nasal polyps. They had more recurrences and worse results than children who underwent primary FESS. The subjective results were good in 77% with a mean follow-up of more than two years. However, a poor correlation between subjective and objective results was noted. Minor complications were seen in 9.2% of 65 sides operated on. The specific advantages of FESS in children are discussed.
对21例患有鼻息肉的儿童进行了功能性鼻内镜鼻窦手术（FESS），这些儿童共接受了34次手术，涉及65侧鼻腔。我们回顾性地分析了FESS术前症状、术前检查结果及手术效果。诊断通过前鼻镜检查和CT扫描进行。24%的患儿证实存在过敏。半数患儿（52%）曾因鼻息肉接受过手术。与初次接受FESS的儿童相比，他们复发率更高，手术效果更差。主观效果良好的比例为77%，平均随访时间超过两年。然而，主观与客观效果之间的相关性较差。在接受手术的65侧鼻腔中，9.2%出现了轻微并发症。文中讨论了FESS在儿童中的具体优势。
