Clinical Consensus Statement: Pediatric Chronic Rhinosinusitis

Otolaryngol Head Neck Surg October 2014 vol. 151 no. 4 542-553

Scott E. Brietzke, MD, MPH1, Jennifer J. Shin, MD2, Sukgi Choi, MD3, Jivianne T. Lee, MD4, Sanjay R. Parikh, MD5, Maria Pena, MD6, Jeremy D. Prager, MD7, Hassan Ramadan, MD8, Maria Veling, MD9,  Maureen Corrigan10, Richard M. Rosenfeld, MD, MPH11

1. ¹Walter Reed National Military Medical Center, Bethesda, Maryland, USA
2. ²Harvard Medical School, Boston, Massachusetts, USA
3. ³University of Pittsburgh/Children’s Hospital of Pittsburgh of UMPC, Pittsburgh, Pennsylvania, USA
4. ⁴David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California, USA
5. ⁵University of Washington/Seattle Children’s Hospital, Seattle, Washington, USA
6. ⁶Children’s National Medical Center, Washington, DC, USA
7. ⁷University of Colorado/Children’s Hospital Colorado, Aurora, Colorado, USA
8. ⁸West Virginia University, Morgantown, West Virginia, USA
9. ⁹University of Texas–Southwestern Medical Center/Children’s Medical Center-Dallas, Dallas, Texas, USA
10. ¹⁰American Academy of Otolaryngology—Head and Neck Surgery Foundation, Alexandria, Virginia, USA
11. ¹¹SUNY Downstate Medical Center, Brooklyn, New York, USA

1. Scott E. Brietzke, MD, MPH, Walter Reed Department of Otolaryngology, 8901 Wisconsin Ave., Bethesda, MD 20889. Email: SEBrietzke@msn.com
2. 
   

Abstract

Objective To develop a clinical consensus statement on the optimal diagnosis and management of pediatric chronic rhinosinusitis (PCRS).

Methods A representative 9-member panel of otolaryngologists with no relevant conflicts of interest was assembled to consider opportunities to optimize the diagnosis and management of PCRS. A working definition of PCRS and the scope of pertinent otolaryngologic practice were first established. Patients of ages 6 months to 18 years without craniofacial syndromes or immunodeficiency were defined as the targeted population of interest. A modified Delphi method was then used to distill expert opinion into clinical statements that met a standardized definition of consensus.

Results After 2 iterative Delphi method surveys, 22 statements met the standardized definition of consensus while 12 statements did not. Four statements were omitted due to redundancy. The clinical statements were grouped into 4 categories for presentation and discussion: (1) definition and diagnosis of PCRS, (2) medical treatment of PCRS, (3) adenoiditis/adenoidectomy, and (4) endoscopic sinus surgery (ESS)/turbinoplasty.

Conclusion Expert panel consensus may provide helpful information for the otolaryngologist in the diagnosis and management of PCRS in uncomplicated pediatric patients.

This Article

1. doi: 10.1177/0194599814549302

   Otolaryngol Head Neck Surg October 2014 vol. 151 no. 4 542-553

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