جراحی آندوسکوپیک سینوس ها در اطفال

This is a report of 30 cases of pediatric functional endoscopic sinus surgery (FESS). 28 of these children had chronic sinusitis and 2 had acute sinusitis the most common chief complaints were: 1) Chronic Rhinorea 2) Nasal obstruction 3) Chronic cough. Systemic predisposing conditions were allergy in 7 pts and immotile cilliasyndrome in 2 pts, all of the procedures were performed under general anesthesia. The most common procedures were: 1) Resection of lateral part of the middle turbinate. 2) Antrostomy of the maxillary sinus. 3) Turbinoplasty of the inf turbinate. 4) Anterior erhnoidectomy, (Messerklinger, Approach). There were no kajor complication and only 3 cases of minor complication (2=regeneration of polipoid tissues, 1 synechia) occurred. The duration of follow up was from 6-18 mths recovery occurred in 26 pts. Two of the pts didn't respond because of severe allergy and were referred to immunologist for further therapy 2 others didn't respond appropriately because of immotile cilliasyndrome