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Pediatric Functional Endoscopic Sinus Surgery: Is a Second Look Necessary?

by admin on September 16, 2011

About Dr. Rande Lazar

Dr. Rande Lazar is an Otolaryngologist located in Memphis, TN and also the founder of Otolaryngology Consultants. His ear, nose, and throat practice based out of Memphis primarily focuses on children’s ear, nose, and throat disorders, but also works with adult patients as well. Dr. Rande Lazar has a wide array of experience in many areas of otolaryngology, including treatment for sinus infections, respiratory infections, tonsil infections, ear infections, throat infections, and sleep disorders. He has experience in pediatric hearing and larynx (voice box) problems, as well as many other problems affecting the head and neck. Dr. Lazar is also a skilled surgeon for both pediatric and adult sleep and sinus disorders.

Article Abstract:

Functional endoscopic sinus surgery (FESS) has become the surgical procedure of choice for the treatment of chronic sinusitis that is refractory to medical treatment. It has become routine to perform endoscopy in children under general anesthesia 2 to 3 weeks after FESS to facilitate examination and cleaning of the operative site. We compared the clinical outcome of 50 children who underwent FESS without a second-look endoscopy with 50 children who underwent a routine second look. Patients with systemic disease (cystic fibrosis, immotile ciliary syndrome, immunoglobulin deficiency) or undergoing a revision procedure were excluded from the study. The results show that the postoperative improvement in nasal obstruction, nasal drainage, and chronic cough was the same for both groups. We conclude that in the vast majority of children without systemic disease and not undergoing a revision procedure, a second endoscopic procedure may not offer any apparent advantage.

Read the full article as a PDF here: Pediatric Functional Endoscopic Sinus Surgery: Is a Second Look Necessary?

If you have any questions about ear, nose and throat disorders, please contact Otolaryngology Consultants of Memphis.

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