Sinusitis in Children
Sinus disease is largely a medical disease in children. Treatment of allergic disease is critical in most children who have recurrent sinusitis. Removal of adenoids can also be very helpful. Any child who has more than 3 sinus infection per year should be evaluated. If your child needs imaging (CT scan or xray), this can be done safely and quickly in my Fort Worth office. Seven (7) second scans can be performed successfully on children as young as 3 years of age. Radiation levels are much less than traditional CT scans of the sinuses.
Children who do not respond successfully to medical treatment of allergies and sinus infections, may need their adenoids removed. In the past, this was typically done prior to any sinus surgery. Some studies had reported success rates of adenoid removal on sinusitis as high as 60%. Now with balloon sinuplasty, the maxillary sinuses can be safely dilated–without the removal of tissue–and irrigated to rinse any infection out. Although no tissue is removed–so scarring is minimal to none–the dilated opening stays dilated due to tiny fractures in the thin bone around the opening that is covered with functional mucosal tissue. This procedure increases the success of adenoidectomy alone without increasing postoperative pain or recovery times.