Chronic rhinosinusitis in children

Pediatric chronic rhinosinusitis is defined as at least 90 continuous days of symptoms of purulent rhinorrhea, nasal obstruction, facial pressure/pain, or a cough with corresponding endoscopic and/or computed tomography (CT) findings in a patient who is 18 years of age or younger. It is important to note that age is a distinguishing factor in the diagnosis of PCRS in that allergic rhinitis is a more prominent factor in older children, whereas adenoid disease (independent of adenoid size) is a more important contributing factor in younger children. The sinonasal anatomy of children differs significantly when compared to the sinonasal anatomy of adults. Even within the pediatric group, the anatomy varies depending on the age of the patient, as structures reach full maturation in the teenage years. Understanding the vicious cycle of sinus diseases, comparing acute and chronic sinusitis. Management of sinusitis can be divided into medical and surgical intervention, how to decide. Management of complicated sinusitis and what are the possible complications