Journal
OTOLARYNGOLOGY-HEAD AND NECK SURGERY
Volume 151, Issue 4, Pages 542-553Publisher
SAGE PUBLICATIONS LTD
DOI: 10.1177/0194599814549302
Keywords
pediatric otolaryngology; rhinosinusitis; chronic rhinosinusitis; evidence-based medicine; review; Delphi method
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Funding
- American Academy of Otolaryngology-Head and Neck Surgery Foundation
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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.
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