Details

Autor(en) / Beteiligte

• Maniaci, Antonino
• Calvo‐Henriquez, Christian
• Cammaroto, Giovanni
• Garcia‐Magan, Carlos
• Garcia‐Paz, Vanesa
• Iannella, Giannicola
• Jiménez‐Huerta, Ignacio
• La Mantia, Ignazio
• Lechien, Jérome R.
• Leong, Samuel C.
• Lobo‐Duro, David
• Maza‐Solano, Juan
• Mitchell, Ron
• Otero‐Alonso, Andrea
• Peng, You
• Radulesco, Thomas
• Simon, François
• Teissier, Natasha
• Cocuzza, Salvatore
• Saibene, Alberto M.

Titel

Pediatric Inferior Turbinate Hypertrophy: Diagnosis and Management. A YO‐IFOS Consensus Statement

Ist Teil von

• The Laryngoscope, 2024-03, Vol.134 (3), p.1437-1444

Ort / Verlag

Hoboken, USA: John Wiley & Sons, Inc

Erscheinungsjahr

2024

Quelle

MEDLINE

Beschreibungen/Notizen

• 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 This article presents a clinical consensus statement aimed at providing a diagnosis and management framework for pediatric inferior turbinate hypertrophy (PedTH), a frequently overlooked cause of nasal breathing difficulties in children. The statement was developed by a panel of 20 contributors from 5 different European and North American countries using the modified Delphi method and is based on shared clinical experience and analysis of the strongest evidence currently available. The statement emphasizes the importance of considering PedTH as a nasal obstructive disease and recommends less invasive treatment options.