OUR EXPERIENCE WITH FESS IN CHILDREN

Between 1993 and 1996 we operated on 50 children with one of the follo wing surgical indications: 17 children with a complication of acute rh inosinusitis and the propagation of the process towards the orbit (per iorbitis), six children with an ethmoid and sphenoid foreign body (shr apnels shells), 11 children with an antrochoanal polyp, four children with nasal polyposis in cystic fibrosis and 12 children with chronic r hinosinusitis after 2-4 acute reinfections. The surgery was done under endotracheal anesthesia with hypotension. CT axial and coronal tomogr ams were done during the preoperative treatment. During the 2 weeks pr eoperative treatment, the patients with polyposis and antrochoanal pol yps were treated with 4-8 mg of cortisone per os or i.m., and also wit h Fluticasone Propionate 100 mg twice a day and antibiotics in chronic and acute rhinosinusitis. The children's age was between 7 and 15 yea rs. In the patients with nasal polyposis and antrochoanal polyps (n = 15) post-operatively, we had four cases of synechiae, recurrent polypo sis in two and antrochoanal polyps in two cases. (C) 1998 Elsevier Sci ence Ireland Ltd. All rights reserved.