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Pediatrics chronic Rhinosinusitis. Gholamreza Bayazian , M.D. Assistant Professor of Otolaryngology Ali Asghar Hospital. CLEFT PALATE. Gholamreza Bayazian , M.D. Assistant Professor of Otolaryngology Ali Asghar Hospital. Introduction. What is the Problem? Diagnosis Management
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Pediatrics chronic Rhinosinusitis GholamrezaBayazian, M.D. Assistant Professor of Otolaryngology Ali Asghar Hospital
CLEFT PALATE GholamrezaBayazian, M.D. Assistant Professor of Otolaryngology Ali Asghar Hospital
Introduction • What is the Problem? • Diagnosis • Management • Surgery
Diagnosis • Signs/symptoms difficult to evaluate: • Congestion (very subjective/indirect/parent’s biass) • Only anterior rhinorrhea is reported • Symptoms impossible to evaluate: • Posterior discharge • Sense of smell • Headache / toothache / facial pain • Symptoms very unspecific : • Cough, irritability, fever, fatigue/decreased activity, etc. • Differentiate with Supportive Adenoiditis
Diagnosis • Enlarged Adenoids: Cause or consequence ?
Managment • Different Drugs • Duration?
Surgery • What is first step? • Biofilms • Adenoiditis • Adenoidectomy alone or with …
Surgery • What is first step? • Biofilms • Adenoiditis • Adenoidectomy alone or with …
Surgery • FESS complete or conservative?
Surgery • Anatomic variations leading to obstruction • Nasal polyposis • Cystic fibrosis • Allergic fungal rhinosinusitis • Primary ciliary dyskinesia • Immunodeficiencies not responding to medical treatment • Asthma secondary to refractory CRS not responding tosystemic steroids • Antrochoanal polyps • Orbital or intracranial complications of rhinosinusitis
Surgery • FESS complete or conservative?
Thank you for your attention • Any comment?