Macroscopic evaluation of intraoperative changes in children with chronic sinusitis

Introduction. The chronic sinusitis issue within the pediatric population is quite popular in the literature. The vide variety of information on microbiology, diagnosis or treatment are opposite to the relatively short experience of endoscopic surgery in pediatrics. This article is the FESS experience summary of Department of Pediatric Otolaryngology, Medical University of Warsaw. Aim. Endeavour to intraoperative macroscopic evaluation of changes in children with CRSs. Analysis of the type and incidence of pathological changes observed macroscopically during FESS was undertaken as well as an parallel attempt to correlate the level of inflammation markers with severity of disease. Material and methods. Retrospective analysis of case records of 44 patients of the Department of Pediatric Otolaryngology, Medical University of Warsaw, hospitalized in the year 2013. During that time 37 patients with a diagnosis of chronic maxillary sinusitis required surgical intervention. 33 children (average-aged 10.4 years) were qualified to functional endoscopic surgery. The youngest patient was 4 years old and the oldest 18. 11 patients presented the polypoid lesions of sinuses or nasals. At 9 confirmed the coexistence of sinus polyps with nasal polyps. Results. 26 patients had oedematous-inflammatory lesions and 11 polypoid. Among the group of listed above 11 children, 9 had either sinuses or nasal polyps. A common deviation in the results of morphology in children with CRSs is higher level of monocytes. Inflammation markers within the population of FESS qualified children were low. Conclusions. 1. Oedematous-inflammatory lesions are frequently intraoperatively identified. 2. The CRSs without polyps is the common type of chronic sinusitis in children. 3 Nasal polyps often coexist with sinus polyps. 4 Markers of inflammation in CRSs are low.