Pediatric Sinus Surgery | NY Sinus Center

Pediatric Sinus Surgery

Should we, or shouldn’t we?

child treated for pediatric sinusitisDeciding whether or not to have surgery is complicated. Deciding whether or not your small child should have surgery can be terrifying. However, if your child suffers from chronic sinus infections, nasal polyps, orbital abscesses, or fungal sinusitis, it may be time to consider Functional Endoscopic Sinus Surgery (FESS) to relieve their pain and congestion in the long run. This type of surgery is minimally invasive, and has few complications.

How FESS works

FESS is used to enlarge the connection between the nose and the sinuses. An endoscope, or very thin tube with a light and camera on the end, is inserted through the nose and into the sinus cavity, and the necrotic tissue or polyps are gently scraped away, a layer at a time. The endoscope is extremely small—this procedure has been used successfully in infants as young as seven weeks.

Even for young children, FESS is typically an outpatient procedure, so your child won’t have to stay overnight in a hospital or treatment facility. However, he or she will probably be cranky and irritable, and may be in pain despite the painkillers.

After the surgery

Your child will probably complain of a sore nose, or of the feeling of something being up their nose (particularly if self-dissolving packing or splints are used). You will want to keep them from blowing their nose for a week or two after surgery, and out of school for several days. Nasal ointment or a saline rinse may be recommended to reduce discomfort and promote healing, and a round of antibiotics will be prescribed in order to ward off infection.

If you have any questions about pediatric FESS, or are considering this procedure for your child, we invite you to contact us right away. We are happy to discuss your options, and to help you with this decision.

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