Effect of Pediatric Endoscopic Sinus Surgery with Antrochoanal Polyps on Sinus Growth

Shin, Seung Heon; Kim, Chang Gyun; Ye, Mi Kyung; Shin, Dong Won; Kim, Woo Seok

Abstract

BACKGROUND AND OBJECTIVES
Pediatric endoscopic sinus surgery (ESS) has become widely used for the treatment of chronic or recurrent rhinosinusitis that is unresponsive to medical management. But the effect of pediatric ESS on facial growth or sinus growth are controversial and not well understood. The object of the present study was to determine whether pediatric ESS causes the volumetric restriction of the sinuses. SUBJECTS AND METHOD: Fifteen cases of patients who underwent unilateral endoscopic sinus surgery for antrochoanal polyp were reviewed retrospectively. Postoperative maxillary and ethmoid sinus volumes were measured by computed tomography at 73.5 (51-101) months after surgery, and these were compared with non-operated sinus volumes. RESULTS: The mean volume of the operated and non-operated maxillary sinuses were 18.9+/-6.4 ml and 21.7+/-5.3 ml. and the mean volume of the operated and non-operated ethmoid sinuses were 4.1+/-1.2 ml and 3.7+/-1.2 ml. There was no significant difference in sinus growth between operated and non-operated sinuses. CONCLUSION: There was no evidence that pediatric ESS affected maxillary and ethmoid sinus growth.