Treatments of pediatric sinusitis

Chronic sinusitis is one of the most common chronic diseases of childhood in Japan. In children, the presenting picture of sinusitis is similar, yet different from that of adults. Conservative therapy is the common treatment for pediatric sinusitis. Nasal administration of antibiotics in conjugation with steroids in a form of aerosols is commonly employed as the mode of medical treatment. Repeated antral lavage is often used for severe maxillary lesions. Failure of both medical therapy and sinus lavage is an indication for surgical treatment. Nasal polyps also must be removed surgically. Functional endoscopic sinus surgery can be beneficial in theses pediatric patients