Long-term outcome of facial growth after functional endoscopic sinus surgery

Objective: We sought to determine whether functional endoscopic sinus (FES) surgery performed in children with chronic rhinosinusitis alters facial growth. Study Design and Setting: This was a retrospective age-matched cohort outcome study performed at a tertiary care hospital. Results: Sixty-seven...

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Bibliographic Details
Published in:Otolaryngology-head and neck surgery 2002-06, Vol.126 (6), p.628-634
Main Authors: Bothwell, Marcella R., Piccirillo, Jay F., Lusk, Rodney P., Ridenour, Brock D.
Format: Article
Language:English
Subjects:
Anthropometry
Case-Control Studies
Child Development - physiology
Child, Preschool
Chronic Disease
Cohort Studies
Confidence Intervals
Endoscopy - adverse effects
Endoscopy - methods
Facial Bones - growth & development
Female
Humans
Linear Models
Male
Probability
Prognosis
Reference Values
Retrospective Studies
Rhinitis - surgery
Sinusitis - surgery
Tomography, X-Ray Computed
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Summary:Objective: We sought to determine whether functional endoscopic sinus (FES) surgery performed in children with chronic rhinosinusitis alters facial growth. Study Design and Setting: This was a retrospective age-matched cohort outcome study performed at a tertiary care hospital. Results: Sixty-seven children participated. There were 46 boys and 21 girls, and the mean age was 3.1 years at presentation and 13.2 years at follow-up. There were 46 children who underwent FES surgery and 21 children who did not undergo FES surgery. Quantitative anthropomorphic analysis was performed using 12 standard facial measurements. A facial plastic expert performed qualitative facial analysis. Both quantitative and qualitative analyses showed no statistical significance in facial growth between children who underwent FES surgery and those who did not undergo FES surgery. Conclusions: In this study, there was no evidence that FES surgery affected facial growth. Significance: These results will aid physicians when discussing with parents the risks of FES surgery. (Otolaryngol Head Neck Surg 2002;126:628-634.)
ISSN:0194-5998
1097-6817
DOI:10.1067/mhn.2002.125607