Pediatric nasal and sinus disorders
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This results in a back up of mucus, which cannot get out. When this mucus remains in the sinus too long it can become infected. Many of the signs of childhood sinusitis are the same as the common cold. When the symptoms of a cold last longer than 7 to 10 days it is time to consider a sinus infection.
Sinusitis and Nasal Polyps in Children
Common pediatric sinusitis symptoms include:. Fungus is present in all our surroundings and the air we inhale. Most healthy people do not react to the presence of fungus due to a functioning immune system. However, in rare instances, fungus may cause inflammation in the nose and the sinuses.
Fungal sinusitis can come in many forms, differing in pathology, symptoms, course, severity, and the treatment required.
What is endoscopic sinus surgery for children?
Treatment involves surgery in combination with medical therapy using anti-fungal agents. Allergic rhinitis and asthma are both conditions in which there is inflammation of the affected airway.
The symptoms of rhinitis are runny nose, stuffy nose, nose itching, sneezing, and mucus dripping down the back of the nose. Asthma usually causes episodes of breathlessness, chest tightness, and wheezing. The severity of both conditions can vary by season. Adding medications for allergic rhinitis to the treatment for asthmatic patients can improve control of asthma.
Endoscopic sinus surgery for the treatment of rhinosinusitis and nasal polyps in patients with asthma also appears to improve asthma control. When the back of the nose is not open or not communicating with the rest of the airway this is called choanal atresia. It is a congenital condition meaning a person is born with it that occurs in about 1 in 6, to 8, live births.
It has been reported in association with maternal use of methimazole. Patients may have noisy breathing, turn blue while sleeping or feeding, and aspirate milk. When the patient awakens, coughs or cries the mouth will open again, allowing air to move through to the lungs, and symptoms will often temporarily resolve.
Feeding slowly can allow the baby to breathe between swallows. However, a feeding tube is often placed from the oral cavity into the stomach to make sure that the patient safely receives adequate feeds. There may be packing in the nose to prevent bleeding. Sometimes, this packing is dissolvable. If the packing needs to be removed, it may be done in the doctor's office for older, cooperative children, or may be done in the operation room under anesthesia.
These will be removed at the doctor's office in one to two weeks and may cause some discomfort while they are in place. If packing is used, your child may be able to feel it in his or her nose. Your child should be told before surgery that they may feel like they have something in their nose when they wake up. If packing is not used, swelling may cause this feeling.
Endoscopic sinus surgery
Your child should know that he or she will not be allowed to forcefully blow his or her nose for a week or two. At first, there may be some drainage from the nose. You may see a small piece of gauze taped under your child's nose.
This is called a "drip pad. The drainage from the nose will probably be tinged with blood. Your child may cough or spit up some pink or brown mucus. Most children are fussy the first few hours after this procedure.
go to link Your child may begin normal play after several days, but may need to stay home from school until the discomfort improves. Follow instructions carefully. Children's Team Departments. Children's Team Children's Team. Maria Pena Otolaryngologist. Departments Departments. Give Act. One time donation.
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Make it happen. Treatments The Hearing and Speech Program at Children's National provides suggested treatments to complement top-notch medical education and experience. Airway Program The Airway Program is a specialized program in the Division of Otolaryngology Ear, Nose, and Throat , one the largest and most prestigious pediatric otolaryngology programs in the country.