Clinical consensus statement: Pediatric chronic rhinosinusitis

Scott E. Brietzke, Jennifer J. Shin, Sukgi Choi, Jivianne T. Lee, Sanjay R. Parikh, Maria Pena, Jeremy D. Prager, Hassan Ramadan, Maria Veling, Maureen Corrigan, Richard M. Rosenfeld

Research output: Contribution to journalArticlepeer-review

131 Scopus citations


Objective. To develop a clinical consensus statement on theoptimal diagnosis and management of pediatric chronic rhinosinusitis(PCRS).

Methods. A representative 9-member panel of otolaryngologistswith no relevant conflicts of interest was assembled toconsider opportunities to optimize the diagnosis and managementof PCRS. A working definition of PCRS andthe scope of pertinent otolaryngologic practice werefirst established. Patients of ages 6 months to 18 yearswithout craniofacial syndromes or immunodeficiency weredefined as the targeted population of interest. A modifiedDelphi method was then used to distill expert opinion intoclinical statements that met a standardized definition ofconsensus.

Results. After 2 iterative Delphi method surveys, 22 statementsmet the standardized definition of consensus while12 statements did not. Four statements were omitted dueto redundancy. The clinical statements were grouped into 4categories for presentation and discussion: (1) definition anddiagnosis of PCRS, (2) medical treatment of PCRS, (3) adenoiditis/adenoidectomy, and (4) endoscopic sinus surgery(ESS)/turbinoplasty.

Conclusion. Expert panel consensus may provide helpful informationfor the otolaryngologist in the diagnosis and managementof PCRS in uncomplicated pediatric patients.

Original languageEnglish (US)
Pages (from-to)542-553
Number of pages12
JournalOtolaryngology - Head and Neck Surgery (United States)
Issue number4
StatePublished - Oct 12 2014


  • Delphi method
  • chronic rhinosinusitis
  • evidence-based medicine
  • pediatric otolaryngology
  • review
  • rhinosinusitis

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology


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