Expert consensus on the diagnosis and treatment of chronic sinusitis in children
Pediatric chronic sinusitis(CRS)is a common disease within the field of otolaryngology-head and neck surgery.Due to the immaturity of sinus development and immune competence in children,its etiology and pathophysiology are complex,and its clinical features and outcomes differ significantly from those in adult pa-tients.Currently,there are issues in the diagnosis and treatment of pediatric CRS,particularly in areas such as antibiotic use and surgical interventions,owing to a lack of sufficient attention.In recognition of this,the Chinese Rhinopathy Research Cooperation Group developed this expert consensus based on a systematic review of the latest literatures from both domestic and international sources,with reference to the latest evidence-based medical evi-dence worldwide,and in combination with their own clinical experience.The consensus covers various aspects in-cluding epidemiology,predisposing factors,pathophysiology,diagnosis and differential diagnosis,as well as treat-ment strategies such as medical therapy and surgical intervention.It aims to standardize the clinical diagnosis and treatment of pediatric CRS,improve clinical efficacy and patient satisfaction,reduce clinical expenditures,and de-crease the occurrence of adverse reactions.