Abstract
Pediatric chronic sinusitis has been re-termed, pediatric chronic rhinosinusitis, largely following the adult nomenclature. However, other large areas of medical management of the process have remained largely uninvestigated. This opinion piece discusses the gaps in our current knowledge of pediatric rhinosinusitis pathophysiology and limitations of current management protocols.
Highlights
In 1979, a 3rd year pediatric resident was doing a preceptorship with a local pediatrician
A 10 year old male was seen by the resident with weeks of nasal congestion
A 5 year old female is referred to an allergist for chronic nasal congestion lasting more than 1 year
Summary
In 1979, a 3rd year pediatric resident was doing a preceptorship with a local pediatrician. In those days, a resident’s time was largely unsupervised. A 10 year old male was seen by the resident with weeks of nasal congestion. A Waters sinus view of the same child showed opacified maxillary sinuses. The mother had returned to see the pediatrician and a sinus X-ray was obtained. The pediatrician told the resident “Doctor, the boy you saw has a chronic sinusitis, and I took the X-ray to show you what it looks like”. A 5 year old female is referred to an allergist for chronic nasal congestion lasting more than 1 year. The sinus X-ray reveals bilateral ethmoid and maxillary opacification and absent adenoids
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