Pediatric Sinus Surgery for Chronic Rhinosinusitis

Pediatric chronic rhinosinusitis (CRS) is a common health problem. Pathophysiology is complicated which leads to different treatment options and approaches. Medical treatment with antibiotics and topical nasal sprays is first line treatment. Surgical intervention includes adenoidectomy and endoscopic sinus surgery (ESS). ESS has proven to be an effective and safe option when everything else fails. In this article, we review the indications, our surgical approach and techniques, and the safety considerations in pediatric ESS.