ABSTRACT
I. The Work-up 334
II. Radiographic Evaluation 336
III. Medical Management 338
IV. Surgical Management 339
References 341
Today’s progressive pediatric community asks a popular question, “What is the
best state of the art therapy for rhinosinusitis?” Currently, children are taken to
the operating room for pediatric functional endoscopic sinus (FES) surgery
when “maximal medical therapy has failed.” A fair question to ask a surgeon
is “What is maximal medical therapy?” After this chapter defines the mechanism
of pediatric chronic rhinosinusitis, it will challenge the reader to find a more
thoughtfully considered definition of rhinosinusitis and its treatment. The next
pertinent question to be considered, “Is rhinosinusitis a medical or surgical
disease?”
