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ISRN Otolaryngology
Volume 2012 (2012), Article ID 851831, 11 pages
http://dx.doi.org/10.5402/2012/851831
Review Article

Rhinosinusitis in Children

Department of Pediatrics and Neonatology, Shahid Clinic and Hospital, Maharashtra, Mumbai 400 077, India

Received 5 October 2012; Accepted 1 November 2012

Academic Editors: C. Y. Chien and A. D. Rapidis

Copyright © 2012 Sukhbir K. Shahid. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Rhinosinusitis is the inflammation of the mucous membranes of nose and paranasal sinus(es). 5–13% of upper respiratory tract infections in children complicate into acute rhinosinusitis. Though not life threatening, it profoundly affects child’s school performance and sleep pattern. If untreated, it could progress to chronic rhinosinusitis (CRS). The pathogens involved in perpetuation of CRS consist of multidrug-resistant mixed microflora. CRS is challenging to manage and could further extend to cause eye or intracranial complications. In children, CRS diagnosis is often either missed or incomprehensive. Due to this, morbidity and strain on healthcare budget are tremendous. Flexible fiberoptic endoscopy has revolutionized management of CRS. Its utility in children is being increasingly recognized. Optimal management entails specific appropriate antimicrobials as well as treatment of underlying causes. The aim is to normalize sinus anatomy and physiology and regain normal mucociliary function and clearance.