Abstract
Idea: One of the most controversial subjects in the field of chronic rhinosinusitis is the role of endoscopic sinus surgery in the paediatric age group, particularly in children under 10 years of age. Method: To gauge a national perspective of the controversy, a questionnaire was circulated to 50 Otolaryngologists practising in Australia with a particular interest in FESS and paediatric otolaryngology.The questionnaire addressed the following issues of paediatric rhinosinusitis:1.How practitioners made the diagnosis;2.What were the indications for CT scanning;3.What practitioners considered failed maximal medical therapy to be;4.What were the indications for FESS;5.What extent of endoscopic surgical resection was performed; and6.What numbers and complications they had experienced.Results: The results of the census suggested that there was very little support to perform endoscopic sinus surgery in children with symptoms suggesting uncomplicated chronic rhinosinusitis, particularly those less than 7 years of age. Conclusion: It was perceived that the condition was mainly a mucosal and immunological problem rather than ostiomeatal obstruction, which might be amenable to surgical treatment.
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