Evaluation and Management of Pediatric Chronic Rhinosinusitis

PROGRAM DESCRIPTION: Pediatric chronic rhinosinusitis (PCRS) affects roughly 8% of children and accounts for 5.6 million outpatient visit per annum in the United States. However, there is a lack of consensus regarding many aspects of PCRS including the workup and management of this common condition. In fact, a recent study assessing practice patterns among members of the two organizations most likely to treat PCRS: the American Rhinologic Society (ARS) and American Society of Pediatric Otolaryngology (ASPO) revealed differences in both medical and surgical practice patterns. This panel seeks to gain insight from both rhinologists and pediatric otolaryngologists as to the state of the art in workup and management of the patient with PCRS.

OUTCOME OBJECTIVE 1: Discuss several cases with both rhinologists and pediatric otolaryngologists in order to determine the current state of clinical workup of pediatric chronic rhinosinusitis.

OUTCOME OBJECTIVE 2: Discuss the state of the art in management of PCRS and differences between rhinologists and pediatric otolaryngologists.

OUTCOME OBJECTIVE 3: Determine the best approach for surgical intervention with discussion of adenoidectomy, balloon sinuplasty and endoscopic sinus surgery.

BACKGROUND STATEMENT: There is a lack of consensus regarding the workup and management of pediatric chronic rhinosinusitis as evidenced by a recent study assessing practice patterns among members of the American Rhinologic Society (ARS) and American Society of Pediatric Otolaryngology (ASPO).