TY - JOUR
T1 - Pediatric Inferior Turbinate Hypertrophy
T2 - Diagnosis and Management. A YO-IFOS Consensus Statement
AU - Maniaci, Antonino
AU - Calvo-Henriquez, Christian
AU - Cammaroto, Giovanni
AU - Garcia-Magan, Carlos
AU - Garcia-Paz, Vanesa
AU - Iannella, Giannicola
AU - Jiménez-Huerta, Ignacio
AU - La Mantia, Ignazio
AU - Lechien, Jérome R.
AU - Leong, Samuel C.
AU - Lobo-Duro, David
AU - Maza-Solano, Juan
AU - Mitchell, Ron
AU - Otero-Alonso, Andrea
AU - Peng, You
AU - Radulesco, Thomas
AU - Simon, François
AU - Teissier, Natasha
AU - Cocuzza, Salvatore
AU - Saibene, Alberto M.
N1 - Publisher Copyright:
© 2023 The Authors. The Laryngoscope published by Wiley Periodicals LLC on behalf of The American Laryngological, Rhinological and Otological Society, Inc.
PY - 2024/3
Y1 - 2024/3
N2 - Objective: Pediatric inferior turbinate hypertrophy (PedTH) is a frequent and often overlooked cause or associated cause of nasal breathing difficulties. This clinical consensus statement (CCS) aims to provide a diagnosis and management framework covering the lack of specific guidelines for this condition and addressing the existing controversies. Methods: A clinical consensus statement (CCS) was developed by a panel of 20 contributors from 7 different European and North American countries using the modified Delphi method. The aim of the CCS was to offer a multidisciplinary reference framework for the management of PedTH on the basis of shared clinical experience and analysis of the strongest evidence currently available. Results: A systematic literature review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria was performed. From the initial 96 items identified, 7 articles were selected based on higher-evidence items such as randomized-controlled trials, guidelines, and systematic reviews. A 34-statement survey was developed, and after three rounds of voting, 2 items reached strong consensus, 17 reached consensus or near consensus, and 15 had no consensus. Conclusions: Until further prospective data are available, our CCS should provide a useful reference for PedTH management. PedTH should be considered a nasal obstructive disease not necessarily related to an adult condition but frequently associated with other nasal or craniofacial disorders. Diagnosis requires clinical examination and endoscopy, whereas rhinomanometry, nasal cytology, and questionnaires have little clinical role. Treatment choice should consider the specific indications and features of the available options, with a preference for less invasive procedures. Level of Evidence: 5 Laryngoscope, 134:1437–1444, 2024.
AB - Objective: Pediatric inferior turbinate hypertrophy (PedTH) is a frequent and often overlooked cause or associated cause of nasal breathing difficulties. This clinical consensus statement (CCS) aims to provide a diagnosis and management framework covering the lack of specific guidelines for this condition and addressing the existing controversies. Methods: A clinical consensus statement (CCS) was developed by a panel of 20 contributors from 7 different European and North American countries using the modified Delphi method. The aim of the CCS was to offer a multidisciplinary reference framework for the management of PedTH on the basis of shared clinical experience and analysis of the strongest evidence currently available. Results: A systematic literature review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria was performed. From the initial 96 items identified, 7 articles were selected based on higher-evidence items such as randomized-controlled trials, guidelines, and systematic reviews. A 34-statement survey was developed, and after three rounds of voting, 2 items reached strong consensus, 17 reached consensus or near consensus, and 15 had no consensus. Conclusions: Until further prospective data are available, our CCS should provide a useful reference for PedTH management. PedTH should be considered a nasal obstructive disease not necessarily related to an adult condition but frequently associated with other nasal or craniofacial disorders. Diagnosis requires clinical examination and endoscopy, whereas rhinomanometry, nasal cytology, and questionnaires have little clinical role. Treatment choice should consider the specific indications and features of the available options, with a preference for less invasive procedures. Level of Evidence: 5 Laryngoscope, 134:1437–1444, 2024.
KW - endoscopy
KW - guideline
KW - nasal breathing difficulties
KW - pediatric otolaryngology
KW - rhinitis
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U2 - 10.1002/lary.30907
DO - 10.1002/lary.30907
M3 - Article
C2 - 37497872
AN - SCOPUS:85165884557
SN - 0023-852X
VL - 134
SP - 1437
EP - 1444
JO - Laryngoscope
JF - Laryngoscope
IS - 3
ER -