Pediatrics chronic Rhinosinusitis - PowerPoint PPT Presentation

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Pediatrics chronic Rhinosinusitis

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  1. Pediatrics chronic Rhinosinusitis GholamrezaBayazian, M.D. Assistant Professor of Otolaryngology Ali Asghar Hospital

  2. CLEFT PALATE GholamrezaBayazian, M.D. Assistant Professor of Otolaryngology Ali Asghar Hospital

  3. Introduction • What is the Problem? • Diagnosis • Management • Surgery

  4. Diagnosis • Signs/symptoms difficult to evaluate: • Congestion (very subjective/indirect/parent’s biass) • Only anterior rhinorrhea is reported • Symptoms impossible to evaluate: • Posterior discharge • Sense of smell • Headache / toothache / facial pain • Symptoms very unspecific : • Cough, irritability, fever, fatigue/decreased activity, etc. • Differentiate with Supportive Adenoiditis

  5. Diagnosis

  6. Diagnosis • Enlarged Adenoids: Cause or consequence ?

  7. Diagnosis

  8. Diagnosis

  9. Managment • Different Drugs • Duration?

  10. Managment

  11. Surgery • What is first step? • Biofilms • Adenoiditis • Adenoidectomy alone or with …

  12. Surgery • What is first step? • Biofilms • Adenoiditis • Adenoidectomy alone or with …

  13. Surgery • FESS complete or conservative?

  14. Surgery • Anatomic variations leading to obstruction • Nasal polyposis • Cystic fibrosis • Allergic fungal rhinosinusitis • Primary ciliary dyskinesia • Immunodeficiencies not responding to medical treatment • Asthma secondary to refractory CRS not responding tosystemic steroids • Antrochoanal polyps • Orbital or intracranial complications of rhinosinusitis

  15. Surgery • FESS complete or conservative?

  16. Thank you for your attention • Any comment?